Alvertis Warren

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

230631 Issued in OK

Practice address

2000 S Wheeling Ave Ste 701
Tulsa, OK 74104-5647

Phone

(918) 748-7810

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1760217467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 UNION AVE RM 325",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033514",
            "telephone_number": "901-448-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 701",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045647",
            "telephone_number": "918-748-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Union Ave Rm 325",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033514",
            "country_code": "US",
            "telephone_number": "901-448-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ALVERTIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "230631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Clinic Stillwater Soonercare
• Warren Clinic Vinita Fee for Service Group
• Warren Clinic Vinita Soonercare Group
• Warren Clinic, Inc
• Warren L. Good, D.D.S., P.C.
• Amber Nicole Warren
• Courtney Lynn Warren, C-NP
• Jane Davis Warren
• Kenneth P Warren, APRN
• Kevin Warren, DO

• Acute Care Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Acute Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.