JENNIFER W WARREN (NPI# 1265494066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265494066 |
| Entity Type | Individual |
| Full Name | JENNIFER W WARREN |
| Credential | NP |
| Practice Address |
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9185921021 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9185921021 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
67094 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | R0067094 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
R0067094 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUECROSS BLUESHIELD | 306748421001 | 01 |
| OH | RAILROAD MEDICARE | 890001141 | 01 |
| OK | 200099160A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783125 | Jennifer Warren | Counselor | 127 S Court Sq, Ozark, AL 36360-0401 | 2019-11-05 |
| 1982121885 | Jennifer Elizabeth Warren | Nurse Practitioner | 1144 Sonoma Ave Ste 119, Santa Rosa, CA 95405-4812 | 2017-08-23 |
| 1356707400 | Jennifer K Warren | Nurse Practitioner | 315 Magazine St Ste C, Tupelo, MS 38804-4802 | 2016-01-05 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1407251846 | Jennifer Warren | Social Worker | 6 Palmer Ave, Suite 7, Scarsdale, NY 10583 | 2014-10-28 |
| 1770876831 | Jennifer Elaine Warren | Counselor | 1047 Lake Dr, Santa Rosa, NM 88435-2561 | 2011-05-24 |
| 1285944884 | Jennifer Jo Warren | Social Worker | 4925 Se 79th Ave, Portland, OR 97206-4215 | 2010-10-15 |
| 1902027428 | Jennifer Anne Warren | Dietitian, Registered | 1225 North State Street, Jackson, MS 39202 | 2007-05-01 |
| 1558377457 | Jennifer B Warren | Pharmacist | 2110 N Maize Rd Ste 500, Wichita, KS 67212-5200 | 2006-07-31 |
| 1417908070 | Jennifer Warren | Physical Therapy Assistant | 315 E Union Ave, Osceola, AR 72370-3235 | 2006-05-16 |
| Street Address |
1265 S UTICA AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124829 | Deanene K Tonn | Physician Assistant | 1265 S Utica Ave, Ste 300, Tulsa, OK 74104-4243 | 2005-06-17 |
| 1790318426 | Pavel Greg Buzadzhi | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2020-02-21 |
| 1447735055 | Jonathan Daniel Bouldin | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-09-28 |
| 1265910269 | Lara Madison Long | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-08-01 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1790262012 | Brooke Nichol Weaver | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1013409945 | Kristopher Wayne Mcdonald | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-06-06 |
| 1942797238 | Jay W Vazquez | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-04-23 |
| 1861937013 | Kelleigh Deeann Sprott | Physician Assistant | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2016-12-27 |
| 1083071534 | Eugenia Lynn Pulliam | Physician Assistant | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2016-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
| 1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
| 1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
| 1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
| 1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
| 1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
| 1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on JENNIFER W WARREN.
| 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.