Active NPI
Wendy Sue-Ellen Warren, D.O.
- Forensic Pathology Physician
- Tacoma, WA
National Provider Identifier
1871722470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- H0086517
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-5051 - Phone
- (253) 968-1110
- NPI assigned
- Jul 6, 2009
- Last updated
- Nov 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 796 | NE | |
| Forensic Pathology Physician | 207ZF0201X | H0086517 | MD | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-5051
Mailing address
115 Purple Heart Ave
Dover AFB, DE 19902-5051
Phone (302) 346-8678
Other practice location 1
115 Purple Heart Ave
Dover AFB, DE 19902-5051
Phone (302) 346-8678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H0086517 | Other | MD | PHYSICIAN AND SURGEON LICENSE |
| 796 | Other | NE | OSTEOPATHIC PHYSICIAN & SURGEON LICENSE |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0086517 | MD | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1871722470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PURPLE HEART AVE",
"city": "DOVER AFB",
"state": "DE",
"postal_code": "199025051",
"telephone_number": "302-346-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315051",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [
{
"address_1": "115 Purple Heart Ave",
"address_purpose": "LOCATION",
"city": "Dover AFB",
"state": "DE",
"postal_code": "199025051",
"country_code": "US",
"telephone_number": "302-346-8678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARREN",
"first_name": "WENDY",
"middle_name": "SUE-ELLEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "NE",
"license": "796",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MD",
"license": "H0086517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN AND SURGEON LICENSE",
"identifier": "H0086517",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSTEOPATHIC PHYSICIAN & SURGEON LICENSE",
"identifier": "796",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.