Individual provider Active NPI

Winnie Warun Kiri, A-GNP

  • Primary Care Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1992303457
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28266 Issued in TN
Practice address
4715 Bonny Oaks Dr Apt 308
Chattanooga, TN 37416-3825
Phone
(423) 260-8738
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28266 TN Primary
Gerontology Nurse Practitioner 363LG0600X 28266 TN
Adult Health Nurse Practitioner 363LA2200X 28266 TN

Addresses

Primary practice location

4715 Bonny Oaks Dr Apt 308
Chattanooga, TN 37416-3825

Mailing address

4715 Bonny Oaks Dr Apt 308
Chattanooga, TN 37416-3825
Phone (423) 260-8738

Other practice location 1

5837 Bunch St
Chattanooga, TN 37421-2909
Phone (423) 260-8738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220627002146 TX Practitioner - Nurse Practitioner 5799184529 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28266TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC CurrentSince Jul 1, 2022 Accepting new patients
Golden Life Wellness Center DFW LLC PastSince Jul 9, 2025 Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1992303457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 BONNY OAKS DR APT 308",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163825",
            "telephone_number": "423-260-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 BONNY OAKS DR APT 308",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163825",
            "telephone_number": "423-260-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5837 Bunch St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374212909",
            "country_code": "US",
            "telephone_number": "423-260-8738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRI",
        "first_name": "WINNIE",
        "middle_name": "WARUN",
        "name_prefix": "Ms.",
        "credential": "A-GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "28266",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "28266",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "28266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.