DR. SHAWN WARREN (NPI# 1528610532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528610532 |
| Entity Type | Individual |
| Full Name | DR. SHAWN WARREN |
| Credential | DNP, PMHNP-BC |
| Practice Address |
755 Lomax St Idaho Falls ID 83401-2786 |
| Practice Telephone | 2089324493 |
| Practice Fax Number | 2089324582 |
| Mailing Telephone | 2089324493 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
62048 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2420 E 25th St, Idaho Falls, ID 834047549 | 2085421026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780189217 | Shawn Warren | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2018-03-27 |
| 1871952333 | Shawn Warren | Chiropractor | 301 Big Hill Ave, Richmond, KY 40475-2011 | 2016-02-12 |
| Street Address |
755 LOMAX ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-2786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1437765344 | Jennifer Christine Maire | Nurse Practitioner | 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 | 2020-09-17 |
| 1922641968 | Anna Blonquist | Nurse Practitioner | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2019-10-22 |
| 1245796101 | Brian Brimhall | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-02-15 |
| 1033542634 | Nathan Eric Bradfield | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2013-08-19 |
| 1497197891 | Jeffrey C Anderson | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2013-07-25 |
| 1528346194 | Shanna Neff | Nurse Practitioner | 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 | 2011-07-29 |
| 1922205574 | Family Care Center | Nurse Practitioner | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857952 | Lidia Timofeenko Petersen | Nurse Practitioner | 775 Wayne Ave, Pocatello, ID 83201-3718 | 2020-06-29 |
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1760950604 | Scott A Watkins | Nurse Practitioner | 2836 Cougar Ave, Nampa, ID 83687-9107 | 2018-11-08 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1659870178 | Mark Mcgrath | Nurse Practitioner | 1309 Ponderosa Dr Ste 103, Sandpoint, ID 83864-8278 | 2018-02-10 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1881027241 | Colleen R Fleming | Nurse Practitioner | 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 | 2013-08-20 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1104191089 | Natasha M Splaine-talbott | Nurse Practitioner | 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 | 2012-03-12 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on DR. SHAWN 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.