Individual provider Active NPI

Krista Ann Warren, N.P.

  • Pediatric Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1891906475
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
16034 Issued in CA
Practice address
6672 Alamitos Cir
Huntington Beach, CA 92648-1537
Phone
(714) 842-6708
Fax
(714) 843-6833
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 16034 CA Primary

Addresses

Primary practice location

6672 Alamitos Cir
Huntington Beach, CA 92648-1537

Mailing address

6672 Alamitos Cir
Huntington Beach, CA 92648-1537
Phone (714) 842-6708

Other identifiers 1

IdentifierTypeStateIssuer
16034OtherCANURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180308002425 CA Order and Referring Only - Nurse Practitioner 3577824473

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kwarrennp112648@direct.memorialcare.org

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1891906475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6672 ALAMITOS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481537",
            "telephone_number": "714-842-6708",
            "fax_number": "714-843-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6672 ALAMITOS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481537",
            "telephone_number": "714-842-6708",
            "fax_number": "714-843-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "16034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "16034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.