Marshelle Smith Warren, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

29682 Issued in CO

Practice address

1460 Ithaca Dr
Boulder, CO 80305-6928

Phone

(303) 589-1304

NPI assigned

May 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1669859161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3217",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803073217",
            "telephone_number": "303-589-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 ITHACA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056928",
            "telephone_number": "303-589-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARSHELLE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "29682",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CO",
            "license": "29682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Warner
• Brian C Warner, DMD
• Warren Tripp, M.D. P.C.
• Elizabeth Swanson Warren, M.A.
• James Douglas Warren, M.D.
• Michele Warren, LPN
• Samantha Elaine Warren, AU.D.
• Brittany Warsing
• Marya Washburn
• Alan H Wasserman, DDS

• Allergy & Immunology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Allergy & Immunology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.