Jeanette Renee Warren, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0037517 Issued in OK

Practice address

115 S Independence Ave
Cushing, OK 74023-4154

Phone

(580) 706-0927

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1639952286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666423",
            "telephone_number": "918-216-4999",
            "fax_number": "918-216-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S INDEPENDENCE AVE",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234154",
            "telephone_number": "580-706-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JEANETTE",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0037517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Healthcare Group LLC (Physicians At Home)
• Jody Walker
• Renee Walker, MA
• Robert Rocky Wallain
• Carly Dion Waren, ARNP
• Tammy Anne Warrior, L.P.N.
• Amy Nichole West, PHARMD
• Leslie W White, OD
• Lynzie Wilson, PT, DPT
• World Wide Anesthesia Alliance

• Licensed Practical Nurse in Cushing, OK
• Providers in Cushing, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.