MICHELLE ANN WARREN (NPI# 1790259968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790259968 |
| Entity Type | Individual |
| Full Name | MICHELLE ANN WARREN |
| Other Name | MICHELLE ANN SCHROEDER |
| Credential | NP |
| Practice Address |
1055 N 500 W Ste 202 Provo UT 84604-3305 |
| Mailing Address |
1055 N 500 W Attn: Credentilaing Provo UT 84604-5122 |
| Practice Telephone | 8013742367 |
| Mailing Telephone | 8013548225 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
219837-3102 | UT | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 219837-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
219837-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1152 E 200 N, American Fork, UT 840032004 | 8017720698 | |
| 96 E Kimballs Ln Ste 305, Draper, UT 840205021 | 8016555670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316296767 | Michelle Nicole Warren | Licensed Practical Nurse | 2134 Saw Mill River Rd, Yorktown Heights, NY 10598-4110 | 2012-08-30 |
| 1437346996 | Michelle Christina Warren | Preventive Medicine | 2340 Us Highway 301 N, Dunn, NC 28334-8307 | 2007-09-28 |
| 1710034061 | Michelle Warren | Obstetrics & Gynecology | 134 E 73rd St, New York, NY 10021-4208 | 2007-01-05 |
| 1710521000 | Michelle Rose Warren | Peer Specialist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2019-10-30 |
| 1811486319 | Michelle Elise Warren | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2018-05-09 |
| 1518460526 | Michelle Warren | Occupational Therapist | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2018-03-15 |
| 1386160851 | Michelle Warren | Pharmacist | 660 Foxon Rd, East Haven, CT 06513-1863 | 2017-08-16 |
| 1780122911 | Michelle Warren | Massage Therapist | 4390 Quinby Dr, Suite D, Hamburg, NY 14075-7900 | 2017-02-08 |
| 1346655883 | Michelle R. Warren | Nurse Practitioner | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2014-06-24 |
| 1730437906 | Michelle Warren | Counselor | 315 N Lakemont Ave Ste B, B, Winter Park, FL 32792-3205 | 2012-08-20 |
| Street Address |
1055 N 500 W STE 202 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699877316 | Steven F Larsen | Nurse Practitioner | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2006-09-02 |
| 1063975613 | Vanessa May Dexter | Registered Nurse | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2019-04-10 |
| 1376052910 | Whitney Carpenter | Nurse Practitioner | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2017-09-27 |
| 1184099764 | Angela Chamberlain | Nurse Practitioner | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2015-12-07 |
| 1316330749 | Central Utah Clinic, P.C. | Non-Pharmacy Dispensing Site | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2015-03-10 |
| 1144497322 | Marc Travis Nuttall | Internal Medicine | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998860 | Jeremy Llewellyn | Nurse Practitioner | 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 | 2020-09-24 |
| 1336765882 | Julie Andrea Rogers | Nurse Practitioner | 428 W 4620 N, Provo, UT 84604-5537 | 2020-06-21 |
| 1992337208 | Xiao Xiao Zou Hoffman | Nurse Practitioner | 1747 N 1500 W, Provo, UT 84604-1146 | 2020-02-05 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1174095855 | Jared Hawkins | Nurse Practitioner | 1034 N 500 W # 84604, Provo, UT 84604-3380 | 2018-12-19 |
| 1891270062 | Catherine Leilani Barrus | Nurse Practitioner | 2833 Indian Hills Cir, Provo, UT 84604-4333 | 2018-10-03 |
| 1760968804 | Amanda Graves | Nurse Practitioner | 1900 N State St Ste 103, Provo, UT 84604-1354 | 2018-07-12 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1205356250 | Gordon Dale Mills Jr. | Nurse Practitioner | 1055 N 500 W # 212, Provo, UT 84604-3305 | 2017-06-21 |
| 1770034845 | Megan Mackenzie Zitting | Nurse Practitioner | 1437 E 1270 S, Provo, UT 84606-6527 | 2016-10-24 |
| Find all providers in PROVO | ||||
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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.