Individual provider Active NPI

Ashley Warner, APRN

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1730547142
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
201600693NP-PP Issued in OR
Practice address
139 Centre St PH 120
New York, NY 10013-4559
Phone
(888) 731-8994
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201600693NP-PP OR
Women's Health Nurse Practitioner 363LW0102X 201600693NP-PP OR Primary

Addresses

Primary practice location

139 Centre St PH 120
New York, NY 10013-4559

Mailing address

3502 Excel Dr Ste 101
Medford, OR 97504-9135
Phone (541) 690-1215

Other practice location 1

950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone (888) 731-8994

Other practice location 2

1050 SW 6th Ave Ste 1100
Portland, OR 97204-1153
Phone (888) 731-8994

Other practice location 3

14355 Miranda Way
Los Altos Hills, CA 94022-2032
Phone (888) 731-8994

Other practice location 4

112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160218002278 OR Practitioner - Nurse Practitioner 1658676242 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201600693NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Wellness Clinic, LLC CurrentSince Jul 1, 2020 Accepting new patients
Integrative Womens Care PC PastSince Mar 11, 2025 Accepting new patients

Locations

2921 Doctors Park Dr
Medford, OR 97504
Phone (541) 690-8015

1744 E McAndrews Rd
Ste D
Medford, OR 97504

Interoperability endpoints

  • Direct secure messaging: ashley.warner.1@27069.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1730547142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 EXCEL DR STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049135",
            "telephone_number": "541-690-1215",
            "fax_number": "541-500-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST PH 120",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Bannock St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026140",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 SW 6th Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041153",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14355 Miranda Way",
            "address_purpose": "LOCATION",
            "city": "Los Altos Hills",
            "state": "CA",
            "postal_code": "940222032",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Maverick Ct",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760491381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ASHLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201600693NP-PP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "201600693NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.