Active NPI
Claire Marie Warren, MEDICAL DOCTOR
- Family Medicine Physician
- Plainfield, CT
National Provider Identifier
1730255449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11620
- Practice address
- 558 Norwich Road
Plainfield, CT 06374 - Phone
- (860) 564-4054
- Fax
- (860) 564-0354
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11620 | CT | Primary |
Addresses
Primary practice location
558 Norwich Road
Plainfield, CT 06374
Mailing address
558 Norwich Road
Plainfield, CT 06374
Phone (860) 564-4054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2V1390 | Other | CT | HEALTHNET |
| 010023925CT02 | Other | CT | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11620 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730255449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 NORWICH ROAD",
"city": "PLAINFIELD",
"state": "CT",
"postal_code": "06374",
"telephone_number": "860-564-4054",
"fax_number": "860-564-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "558 NORWICH ROAD",
"city": "PLAINFIELD",
"state": "CT",
"postal_code": "06374",
"telephone_number": "860-564-4054",
"fax_number": "860-564-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "CLAIRE",
"middle_name": "MARIE",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "11620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V1390",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010023925CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.