KELLY C WARREN (NPI# 1760619639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760619639 |
| Entity Type | Individual |
| Full Name | KELLY C WARREN |
| Credential | R.N. |
| Practice Address |
2000 Mckenzie St Fort Worth TX 76105-3053 |
| Practice Telephone | 8175340814 |
| Mailing Telephone | 8175340814 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
607991 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235233 | Kelly Goodpaster Warren | Dentist | 535 Wellington Way Ste 120, Lexington, KY 40503-1387 | 2014-08-01 |
| 1306801071 | Kelly John Warren | Dermatology | 3920 Nw 49th St, Tamarac, FL 33309 | 2006-04-18 |
| 1760995450 | Kelly J Warren | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2017-11-16 |
| 1538680335 | Kelly Puz Warren | Counselor | 227 N Market St, Washington, NC 27889-4949 | 2017-06-30 |
| 1891105193 | Kelly Warren | Psychologist | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 | 2014-05-07 |
| 1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
| 1164767398 | Kelly H Warren | Nurse Practitioner | 10600 Industrial Dr, Minden, LA 71055-5105 | 2012-11-28 |
| 1396039657 | Kelly Ann Warren | Pharmacist | 1285 Som Center Rd, T-1324, Mayfield Heights, OH 44124-2073 | 2011-06-04 |
| 1528378650 | Kelly Warren | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2010-10-07 |
| 1093923856 | Kelly Dawn Warren | Social Worker | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-05-17 |
| Street Address |
2000 MCKENZIE ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790272920 | Mercy Itesa | Registered Nurse | 11937 Grizzly Bear Dr, Fort Worth, TX 76244-4784 | 2018-04-13 |
| 1144704727 | Kristi Melven | Registered Nurse | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2018-09-20 |
| 1457854267 | Kathy Sawyer | Registered Nurse | 219 S Main St, Fort Worth, TX 76104-1224 | 2018-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022380 | Bethany Lynn Cole | Registered Nurse | 501 Rowdy Dr, Royse City, TX 75189-8561 | 2020-10-27 |
| 1992304000 | Tiffany Barefoot | Registered Nurse | 1476 E Mccarty Ln Apt 5101, San Marcos, TX 78666-3793 | 2020-10-20 |
| 1104425461 | Cammi Ann Kassie Walls | Registered Nurse | 105 Mossridge, Universal City, TX 78148-3516 | 2020-10-19 |
| 1366049728 | Stacie Renee Wheeler | Registered Nurse | 2385 Crescent Dr, Paris, TX 75460-3246 | 2020-10-07 |
| 1952908667 | Cassandra Nicole Snell | Registered Nurse | 5258 Farm Road 1506, Brookston, TX 75421-4318 | 2020-10-06 |
| 1386250744 | Tamra Nicole Evans | Registered Nurse | 6505 Hillock Ln, Pearland, TX 77584-9295 | 2020-09-21 |
| 1477168615 | Proactive Pediatric Nursing Services, Pllc | Registered Nurse | 17711 Sauki Ln, Richmond, TX 77407-2847 | 2020-09-14 |
| 1427662618 | Jocelyn Zabala Hollar | Registered Nurse | 13930 Ashdale Ln, Houston, TX 77083-5990 | 2020-09-04 |
| 1457963522 | Tracy Ellen Huffman | Registered Nurse | 28018 Wind Hawk Dr, Katy, TX 77494-4272 | 2020-08-20 |
| 1790396612 | Leslie Yerani Sanchez Alanis | Registered Nurse | 165 Rabbit Trl, Cedar Creek, TX 78612 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on KELLY C 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.