Individual provider Active NPI

Patricia Ann Warner, ARNP

  • Nurse Practitioner
  • Lawrenceburg, KY
National Provider Identifier
1871564658
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3823P Issued in KY
Practice address
1055 Corporate Dr
Lawrenceburg, KY 40342-8037
Phone
(502) 839-5590
Fax
(502) 839-3450
NPI assigned
Jan 30, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3823P KY Primary

Addresses

Primary practice location

1055 Corporate Dr
Lawrenceburg, KY 40342-8037

Mailing address

1055 Wellington Way
Suite 275
Lexington, KY 40513-1259
Phone (859) 219-2828

Other identifiers 5

IdentifierTypeStateIssuer
000000321169OtherBCBS HHC
78023413MedicaidKY
1206236OtherCHA HHC
000000489276OtherBCBS APC
7649508OtherAETNA HHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040504000479 KY Practitioner - Nurse Practitioner 6800884305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

83 C Michael Davenport Blvd
C
Frankfort, KY 40601-4418
Phone (502) 352-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6509KYMDGeneral Practice Dentistry
3823PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Center-Frankfort LLC CurrentSince Jan 1, 2019 Accepting new patients
Lexington Primary Care LLC Nurse Practitioner PastSince Jan 5, 2004 Accepting new patients
Horizon Healthcare Center LLC Nurse Practitioner PastSince Mar 17, 2019 Accepting new patients

Locations

83 C Michael Davenport Blvd
#C
Frankfort, KY 40601
Phone (502) 352-2300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1871564658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WELLINGTON WAY",
            "address_2": "SUITE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131259",
            "telephone_number": "859-219-2828",
            "fax_number": "859-219-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CORPORATE DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403428037",
            "telephone_number": "502-839-5590",
            "fax_number": "502-839-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3823P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  HHC",
            "identifier": "000000321169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78023413",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA   HHC",
            "identifier": "1206236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS   APC",
            "identifier": "000000489276",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  HHC",
            "identifier": "7649508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.