Organization Active NPI

Maryh. Warren, Arnp, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1669700050
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
027571-23-08 Issued in NH
Legal business name
MARYH. WARREN, ARNP, PLLC
Practice address
5 Pine Street Ext
#6 Mill Annex, Ste K
Nashua, NH 03060-3248
Phone
(603) 886-4800
Fax
(603) 886-4810
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Jeanne L Tyrrell
Title
Office Administrator
Phone
(603) 886-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 027571-23-08 NH Primary

Addresses

Primary practice location

5 Pine Street Ext
#6 Mill Annex, Ste K
Nashua, NH 03060-3248

Mailing address

5 Pine Street Ext
#6 Mill Annex, Ste K
Nashua, NH 03060-3248
Phone (603) 886-4800

Other identifiers 1

IdentifierTypeStateIssuer
30344944MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000064 NH Part B Supplier - Clinic/Group Practice 7517007396 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

5 Pine Street Ext
Nashua, NH 03060
Phone (603) 881-4848

5 Pine Street Ext
Unit 6
Nashua, NH 03060
Phone (603) 886-4800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1669700050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PINE STREET EXT",
            "address_2": "#6 MILL ANNEX, STE K",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603248",
            "telephone_number": "603-886-4800",
            "fax_number": "603-886-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE STREET EXT",
            "address_2": "#6 MILL ANNEX, STE K",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603248",
            "telephone_number": "603-886-4800",
            "fax_number": "603-886-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYH. WARREN, ARNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "TYRRELL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "603-886-4800"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "027571-23-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30344944",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.