Individual provider Active NPI

Elizabeth Diane Warlick, LPN

  • Licensed Practical Nurse
  • Sapulpa, OK
National Provider Identifier
1649773912
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
68279 Issued in OK
Practice address
23 E Ross Ave
Sapulpa, OK 74066-6423
Phone
(918) 216-4999
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 68279 OK Primary

Addresses

Primary practice location

23 E Ross Ave
Sapulpa, OK 74066-6423

Mailing address

132 W Broadway
Kiefer, OK 74041-4518
Phone (918) 321-2182

Other names 1

  • Mrs. Elizabeth Diane Titsworth Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68279OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1649773912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W BROADWAY",
            "city": "KIEFER",
            "state": "OK",
            "postal_code": "740414518",
            "telephone_number": "918-321-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666423",
            "telephone_number": "918-216-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARLICK",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "68279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TITSWORTH",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.