MR. KENNETH P WARREN


Address: 1822 E 15th St, Suite A, Tulsa, OK 74104-4645
Phone: 9185913567

MR. KENNETH P WARREN (NPI# 1013909324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013909324
Entity Type Individual
Full Name MR. KENNETH P WARREN
Credential APRN
Practice Address 1822 E 15th St
Suite A
Tulsa
OK 74104-4645
Practice Telephone 9185913567
Practice Fax Number 9185913568
Mailing Telephone 9185913567
Mailing Fax Number 9185913568
Enumeration Date 2005-08-22
Last Update Date 2019-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R0050761 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK GROUP NPI 1811267891 01
OK PROVIDER INDIVIDUAL NPI 1013909324 01
OK 100198180A 05
OK BCBSOK 76063966-006 01
OK MEDICARE PTAN INDIVIDUAL OKAAA3489 01
OK GROUP PTAN OKAAA3490 01

Other Providers KENNETH WARREN

NPI Name Taxonomy Address Enumeration
1881928612 Kenneth Warren Counselor 18000 Coyle, Detroit, MI 48235-2825 2009-09-26
1689854382 Kenneth D Warren Jr. Podiatrist 2 Berry Ct, Kennebunk, ME 04043-6812 2007-11-09
1043221856 Kenneth R. Warren Family Medicine 31 Physicians Dr, Suite 1, Jackson, TN 38305-2071 2006-08-10
1730674987 Kenneth Warren Peer Specialist 1744 Payne Ave, Cleveland, OH 44114-2910 2018-06-28
1790712552 Kenneth Christian Warren Physical Therapist 665 Gaines School Rd, Athens, GA 30605-3127 2006-06-27

Office Location

Street Address 1822 E 15TH ST
SUITE A
City TULSA
State OK
Zip Code 74104-4645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831225655 Thomas L Ashcraft Md & Assoc. Inc Anesthesiology 1822 E 15th St, #c, Tulsa, OK 74104-4611 2007-02-26

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700403037 Molly Lewis Nurse Practitioner 9001 S 101st East Ave Ste 230, Tulsa, OK 74133-5797 2020-07-02
1861036055 Carmen Gabriela Nateras Nurse Practitioner 5970 E 31st St Ste I, Tulsa, OK 74135-5112 2019-10-31
1699323097 Leslie Burton Nurse Practitioner 7912 E 31st Ct Ste 320, Tulsa, OK 74145-1305 2019-08-28
1902361538 Jonathan Michael Ranck Nurse Practitioner 3430 E 87th Pl, Tulsa, OK 74137-2637 2019-02-07
1003397332 Adekemi Taiwo Nurse Practitioner Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 2018-08-24
1326527060 Kelly Watson Nurse Practitioner 6802 S Olympia Ave Ste 300, Tulsa, OK 74132-1826 2018-08-13
1104287713 Christina Hynes Nurse Practitioner 2000 S Wheeling Ave Ste 600, Tulsa, OK 74104-5645 2016-03-09
1447660303 Cecilia Shaw Nurse Practitioner 3159 S Madison Ave, Tulsa, OK 74105-2035 2014-04-30
1609139153 Jessica Ann Brewer Nurse Practitioner 2907 S Boston Ct, Tulsa, OK 74114-5214 2012-06-20
1306138896 Matrix Medical Network of Oklahoma LLC Nurse Practitioner 8211 E Regal Pl Ste 100-103, Tulsa, OK 74133-7167 2011-05-03
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Competitor

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City TULSA
Zip Code 74104

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Dataset Information

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.

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