Amy Marie Warner

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60740006 Issued in WA

Practice address

6811 S 204TH St Ste 280
Kent, WA 98032-1352

Phone

(888) 674-5871

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Marie Bagwell Former name

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bastion Health PC

  • Family Medicine Physician
  • Tukwila, WA
  • NPI 1750921193

  OR

  Medicare reassignment NPD
• Cedarcrest Behavioral Medicine LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1700698271
  NPD

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1972032845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 SINCLAIR DR",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278815",
            "telephone_number": "205-292-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 S 204TH ST STE 280",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321352",
            "telephone_number": "888-674-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3597 E Monarch Sky Ln Ste 240",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461055",
            "country_code": "US",
            "telephone_number": "888-674-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60740006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BAGWELL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Njoki Wanjohi
• Terry Wangechi Wanjohi
• Neal Bradley Wanner, DDS
• Kelly Warfield, LMP, CSP
• Diane Marie Wargo, LMP
• Gloria D Warner, RPH
• Sarah Warren, RN
• Mohamud Warsame
• Joseph Waruinge
• Washington CVS Pharmacy LLC

• Family Nurse Practitioner in Kent, WA
• Providers in Kent, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.