Active NPI
Roann Marie Warden, RN
- Community Health Registered Nurse
- Monroe, WI
National Provider Identifier
1740760958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 99307-30
- Practice address
- N3152 Hwy 81
Monroe, WI 53566-9397 - Phone
- (608) 328-9390
- Fax
- (608) 325-7575
- NPI assigned
- Aug 16, 2018
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 99307-30 | WI | Primary |
Addresses
Primary practice location
N3152 Hwy 81
Monroe, WI 53566-9397
Mailing address
N3152 Hwy 81
Monroe, WI 53566-9397
Phone (608) 328-9390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508011479 | Medicaid | WI |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99307-30 | WI | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Green | Past | Accepting new patients | |
| County of Green | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Monroe, WI
- NPI 1508011479
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, WI
- NPI 1992925085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1740760958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3152 HWY 81",
"city": "MONROE",
"state": "WI",
"postal_code": "535669397",
"telephone_number": "608-328-9390",
"fax_number": "608-325-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N3152 HWY 81",
"city": "MONROE",
"state": "WI",
"postal_code": "535669397",
"telephone_number": "608-328-9390",
"fax_number": "608-325-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN",
"first_name": "ROANN",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "WI",
"license": "99307-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508011479",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.