Individual provider Active NPI

Katelyn Diane Warren, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1891479788
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
224750 Issued in AR
Practice address
9501 Baptist Health Dr Ste 600
Little Rock, AR 72205-6231
Phone
(501) 227-7596
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 224750 AR Primary

Addresses

Primary practice location

9501 Baptist Health Dr Ste 600
Little Rock, AR 72205-6231

Mailing address

9501 Baptist Health Dr Ste 600
Little Rock, AR 72205-6231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230727004074 AR Practitioner - Nurse Practitioner 4688035322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saline Clinics LLCGroup PAC ID 0547553836, 26 clinicians

Practice addresses (Care Compare)

3 Medical Park Dr
Suite 301
Benton, AR 72015-3726
Phone (501) 574-7940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224750ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince Jul 3, 2023 Accepting new patients
Baptist Health Current Accepting new patients
Saline Clinics LLC CurrentSince Nov 1, 2024 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Aug 27, 2023 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Aug 27, 2023 Accepting new patients
Baptist Health CurrentSince Jul 3, 2023 Accepting new patients

Locations

3 Medical Park Dr
Ste 301
Benton, AR 72015
Phone (501) 315-8818

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

9501 Baptist Health Dr
Ste 600
Little Rock, AR 72205

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katelyn.warren.1@16686.direct.athenahealth.com
  • Direct secure messaging: kwarren473963@direct.baptist-healthar.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1891479788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056231",
            "telephone_number": "501-227-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KATELYN",
        "middle_name": "DIANE",
        "credential": "DNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "224750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.