Individual provider Active NPI

Yvette Jean Warren, RDHEF, AP, MA

  • Dental Hygienist
  • Burney, CA
National Provider Identifier
1942899224
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH19568 Issued in CA
Practice address
36977 Park Ave
Burney, CA 96013-4067
Phone
(530) 335-3651
NPI assigned
Jan 12, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH19568 CA Primary
Dental Assistant 126800000X AEF236 CA

Addresses

Primary practice location

36977 Park Ave
Burney, CA 96013-4067

Mailing address

36977 Park Ave
Burney, CA 96013-4067
Phone (530) 335-3651

Other practice location 1

150 Bia Route 76A
Alturas, CA 96101-4502
Phone (530) 233-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RDH19568CAMDDental Hygienist
AEF236CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pit River Health Service, Inc. Current Accepting new patients

Locations

36977 Park Ave
Burney, CA 96013
Phone (530) 335-3651

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1942899224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36977 PARK AVE",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134067",
            "telephone_number": "530-335-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36977 PARK AVE",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134067",
            "telephone_number": "530-335-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bia Route 76A",
            "address_purpose": "LOCATION",
            "city": "Alturas",
            "state": "CA",
            "postal_code": "961014502",
            "country_code": "US",
            "telephone_number": "530-233-3223",
            "fax_number": "530-233-3196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "YVETTE",
        "middle_name": "JEAN",
        "credential": "RDHEF, AP, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH19568",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "AEF236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burney, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.