Individual provider Active NPI

Cheryl E Warren, NP

  • Family Nurse Practitioner
  • Chickasha, OK
National Provider Identifier
1720550676
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81120 Issued in OK
Practice address
2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone
(405) 224-8111
Fax
(405) 222-9587
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81120 OK Primary

Addresses

Primary practice location

2222 W Iowa Ave
Chickasha, OK 73018-2738

Mailing address

2222 W Iowa Ave
Chickasha, OK 73018-2738
Phone (405) 224-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001697 OK Practitioner - Nurse Practitioner 5193065118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Urology Associates PCGroup PAC ID 6103888961, 10 clinicians

Practice addresses (Care Compare)

500 E Robinson St
Suite 1300
Norman, OK 73071-6694
Phone (405) 360-9966

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
  • Norman Regional Hospital, Norman, OK, CCN 370008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81120OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc CurrentSince Jan 27, 2019 Accepting new patients
Norman Urology Associates PC CurrentSince Oct 1, 2023 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Jan 27, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

210 Mary Bailey
Chickasha, OK 73018
Phone (405) 222-9222

2222 W Iowa Ave
Chickasha, OK 73018

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656

500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966

500 E Robinson St
Ste 300
Norman, OK 73071
Phone (405) 360-1118

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1720550676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111",
            "fax_number": "405-222-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111",
            "fax_number": "405-222-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "81120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.