Rebecca Perry Ward, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R686093 Issued in MS

Practice address

4381 South Eason Blvd
Longtown Medical Park
Tupelo, MS 38801

Phone

(662) 377-7354

Fax

(662) 377-5301

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tupelo Anesthesia Group PA

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1558390443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003969304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DOGWOOD EST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298273",
            "telephone_number": "662-728-1154",
            "fax_number": "662-728-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 SOUTH EASON BLVD",
            "address_2": "LONGTOWN MEDICAL PARK",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-377-7354",
            "fax_number": "662-377-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "REBECCA",
        "middle_name": "PERRY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R686093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114215",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha L. Walls, MA
• Billy Walton, DO
• Debra Ann Ward
• Jared Ward
• Jordan Ward, LPN
• Taylor Elise Wardlaw, FNP-C
• Charlotte Warfield, CCC-SLP
• Dan P Warlick, MD
• Anna Warren, PCMHT
• Jennifer K Warren, PMHNP-BC

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.