KATHRYN A WARNER (NPI# 1053557413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053557413 |
| Entity Type | Individual |
| Full Name | KATHRYN A WARNER |
| Other Name | KATHRYN A SARTIC |
| Credential | FNP |
| Practice Address |
1600 Delta Waters Rd Suite 107 Medford OR 97504-9114 |
| Mailing Address |
815 N Central Ave Suite C Medford OR 97501-5873 |
| Practice Telephone | 5418582515 |
| Practice Fax Number | 5418582514 |
| Mailing Telephone | 5417349030 |
| Mailing Fax Number | 5417349885 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
200843159RN | OR | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200950004NP FNP- | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAL LICENSE | 20095004NP | 01 | |
| DEA | MW1913448 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Manzanita St, Medford, OR 975023064 | 5414946611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255736732 | Kathryn Carduck Warner | Early Intervention Provider Agency | 1429 Columbine Rd, Colorado Springs, CO 80907-4707 | 2014-10-27 |
| 1962673145 | Kathryn Warner | Counselor | 1720 10th Ave S, Ste. #4, Great Falls, MT 59405-2680 | 2008-03-17 |
| 1467400994 | Kathryn A Warner | Chiropractor | 803 New Rd, Somers Point, NJ 08244-1846 | 2006-05-05 |
| 1073731139 | Kathryn Warner | Counselor | 2350 W 3rd Street Rd, Greeley, CO 80631-1548 | 2007-04-23 |
| 1043355894 | Kathryn Marie Warner | Orthotic Fitter | 1328 16th Street, Santa Monica, CA 90404 | 2007-02-20 |
| 1922186907 | Kathryn Jo Warner | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2006-11-01 |
| Street Address |
1600 DELTA WATERS RD SUITE 107 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-9114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166756 | James D Dowd | Orthopaedic Surgery | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2005-07-01 |
| 1366699803 | Robert R. Hoffner | Physician Assistant | 1600 Delta Waters Rd, 107, Medford, OR 97504-9114 | 2008-08-27 |
| 1023147451 | John D Berlingeri | Physician Assistant | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-03-02 |
| 1982731618 | Allen Lewis Hayter | Physician Assistant | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-02-28 |
| 1588717979 | Maria Dawn Miller | Family Medicine | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-01-19 |
| 1972656395 | Mona J. Mcardle | Emergency Medicine | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-01-19 |
| 1376696732 | Thomas Peter Penner | Family Medicine | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-01-19 |
| 1477603454 | Jeffrey Gray Williams | Emergency Medicine | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-01-11 |
| 1023165362 | Madhavi S Deshmukh | Physician Assistant | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2007-01-05 |
| 1912068289 | Leslie Lee Mccullough | Family Medicine | 1600 Delta Waters Rd, Suite 107, Medford, OR 97504-9114 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.