Eden Sonja Warrick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4112 Links LN Ste 205
Round Rock, TX 78664-3903

Phone

(512) 451-0139

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Daniel J Ladd DO PA

  dba Tru-Skin Dermatology

  • Dermatology Physician
  • Austin, TX
  • NPI 1326238296
  Medicare reassignment
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  TX

  Medicare reassignment
• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

  • Dermatology Physician
  • Bastrop, TX
  • NPI 1831334291
  NPD

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1790345353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 LINKS LN STE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643903",
            "telephone_number": "512-451-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LINKS LN STE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643903",
            "telephone_number": "512-451-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRICK",
        "first_name": "EDEN",
        "middle_name": "SONJA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Catherine Ward, L.M.T.
• Debra L. Ware, O.D.
• Michele Lynn Wares, P.T.
• Marybeth Louise Wargo
• Diane L Warmoth, PA
• Berlina Washington
• Kasandra Maria Washington, MA, LPC
• Neah Washington, ACA, BC-HIS
• Wanda Washington
• Shelby E Wasil, PA-C

• Physician Assistant in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.