Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fikisha Latoya Warden, MD

Individual provider Family Medicine Physician · NPI 1679701395

Dr. Fikisha Latoya Warden, MD is a Family Practice in Rockford, Illinois. Qualified in 2006, 20 years ago. Works from 2 locations. Licensed in Connecticut, Illinois and Missouri.

Years since qualifying
20
Licensed in
CT, IL, MO
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4857 Manhattan Dr
Rockford, IL 61108
Phone: (815) 708-0116
Fax: (815) 708-0174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 Bowles Ave, Fenton, MO 63026-2395 — (636) 496-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036144365 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2014024079 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 50745 (CT)

Record details

NPI number1679701395
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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