Eric-Jason McKiver Warren, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

63435 Issued in TX

Practice address

3600 Memorial Blvd
Kerrville, TX 78028

Phone

(830) 896-2020

NPI assigned

May 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1922620194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-896-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-896-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ERIC-JASON",
        "middle_name": "MCKIVER",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "TX",
            "license": "63435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCTRC",
            "identifier": "63435",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eric-Jason.Warren@Va.gov",
            "affiliation": "N",
            "endpointDescription": "Work email/skype",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3600 Memorial Blvd",
            "city": "Kerrville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eric-Jason.Warren@va.gov",
            "affiliation": "N",
            "endpointDescription": "email/skpe message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email/message",
            "address_1": "3600 Memorial Blvd",
            "city": "Kerrville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dakota Walker, PT, DPT
• Annaliesa Wallace, PA
• Melissa G Wampler, MD
• Kami Rave Ward, DC
• Thad Ward, LCDC
• Lisa Michelle Watts, PSY.D.
• Susan Gail Watts, MS. RD. LD. CDE.
• Matthew J Wayner, MD
• Karen Casey Webber, DPT, PT
• Elizabeth Ewng Weeks, N.P.

• Recreation Therapist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Recreation Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.