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Export Provider Record NPI 1073577060
John Frank WarrenPH.D., PA-C
Active
NPI Number1073577060
NPI TypeNPI-1 Individual
SpecialtyPsychologist
Provider Details
NPI1073577060
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-14
Last Updated2025-09-11
Mailing Address840 W 4th St
Winston-Salem, NC 27101-2502
United States
Phone: (336) 773-0900 | Fax: (336) 773-0097
📍 View Map
Primary Practice Address840 W 4th St
Winston-Salem, NC 27101-2502
United States
Phone: (336) 773-0900 | Fax: (336) 773-0097
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes103T00000X – PsychologistNC871
No363A00000X – Physician AssistantNC0010-00263
Export Provider Record NPI 1073577060
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About NPI 1073577060

John Frank Warren PH.D., PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073577060. The primary specialty listed is Psychologist. The provider is located in Winston-Salem, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073577060?

NPI 1073577060 belongs to John Frank Warren PH.D., PA-C, a Psychologist in Winston-Salem, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073577060 active?

The current status of NPI 1073577060 in the NPPES registry is Active. The record was last updated on 2025-09-11.

What specialty is NPI 1073577060?

NPI 1073577060 is classified under the taxonomy Psychologist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073577060?

You can verify NPI 1073577060 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073577060?

The primary practice address on file for NPI 1073577060 is 840 W 4th St, Winston-Salem, NC 27101-2502. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073577060 issued?

NPI 1073577060 was first issued (enumerated) on 2006-04-14. The NPPES record was last updated on 2025-09-11.

Practice Location Map

John Frank Warren is located at 840 W 4th St, Winston-Salem, NC. Use the map below to find directions or verify the practice location.

📍 840 W 4th St, Winston-Salem, NC 27101-2502  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as John Frank Warren. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073577060. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Psychologist871NC
Physician Assistant0010-00263NC
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162