Tammy Lynn Warren I, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

770996 Issued in NY

Practice address

12 Monroe Blvd
West Monroe, NY 13167-3214

Phone

(315) 426-3600

NPI assigned

Nov 30, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1891399986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MONROE BLVD",
            "city": "WEST MONROE",
            "state": "NY",
            "postal_code": "131673214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MONROE BLVD",
            "city": "WEST MONROE",
            "state": "NY",
            "postal_code": "131673214",
            "telephone_number": "315-426-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Monroe Blvd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "NY",
            "postal_code": "13167",
            "country_code": "US",
            "telephone_number": "315-480-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "770996",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "770996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Lyn Penrod
• Carrie Ann Pitcher
• Patricia J Schwartz, LPN
• Adam Richard Sharp, LPN
• Monique Smith, LPN

• Registered Nurse in West Monroe, NY
• Providers in West Monroe, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.