Stacey Ann Warner, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

19366 Issued in CA

Practice address

4755 E Cesar E Chavez Ave
Ste. a
Los Angeles, CA 90022-1267

Phone

(323) 262-4194

NPI assigned

Apr 23, 2013

Reactivated

Sep 12, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1891139754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 E CESAR E CHAVEZ AVE",
            "address_2": "STE. A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221267",
            "telephone_number": "323-262-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 E CESAR E CHAVEZ AVE",
            "address_2": "STE. A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221267",
            "telephone_number": "323-262-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2016-09-29",
        "deactivation_date": "2015-02-05",
        "reactivation_date": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "19366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta Louise Warner, MD
• Blake Warner, PHD
• Kelly B Warner, MPH, RDN
• Kim Warner, M.D.
• Lindsay Warner, M.S.
• Tamequa Warner
• Timothy Allen Warner
• Danielle Warnke
• Robert Sean Warnock, ARNP
• Warren Banta MD, a Medical Corporation

• Pediatric Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.