Stephanie Renee Warren, PHLEBOTOMIST

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

703 Cornell Ave
West Memphis, AR 72301-5107

Phone

(901) 503-5777

NPI assigned

Dec 18, 2019

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1871131060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CORNELL AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723015107",
            "telephone_number": "901-503-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 CORNELL AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723015107",
            "telephone_number": "901-503-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Ward-Jones, M.D.
• Doniesha Ward
• Deliney Warren
• Kelly J Warren
• Stephanie Warren
• Latonya Washington, MD
• Betty Jean Watkins, CDA, MHPP
• Shanick Watkins
• Symphonie Watson
• Waverley - Arkansas, Inc. (Health Care and Rehabilitation Center of West Memphis)

• Non-emergency Medical Transport (VAN) in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Non-emergency Medical Transport (VAN) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.