Individual provider Active NPI

Carolyn Ann Ward

  • Pediatric Nurse Practitioner
  • Boston, MA
National Provider Identifier
1013454826
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2260277 Issued in MA
Practice address
750 Harrison Ave
Yawkey 6TH Floor
Boston, MA 02118-2310
Phone
(617) 414-2222
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2260277 MA Primary
Critical Care Pediatric Nurse Practitioner 363LP0222X RN2260277 MA

Addresses

Primary practice location

750 Harrison Ave
Yawkey 6TH Floor
Boston, MA 02118-2310

Mailing address

88 E Newton St
Vose Hall Suite 401
Boston, MA 02118-2308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011003605 MA Practitioner - Nurse Practitioner 5890060115 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2260277MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. CurrentSince Oct 1, 2017 Accepting new patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Children'S Hospital Pediatric Associates, Inc Pediatrics CurrentSince Feb 20, 2018 Accepting new patients
Franciscan Pediatrics, Inc. Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 1st Ave
Charlestown, MA 02129
Phone (617) 952-5000

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

9 Northeastern Blvd
Ste 400
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: ward.carolyn.epa@direct.partners.masshiway.net
  • Direct secure messaging: cward30919@direct.bostonchildrens.org
  • Direct secure messaging: ward.carolyn.srh@direct.partners.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1013454826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E NEWTON ST",
            "address_2": "VOSE HALL SUITE 401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HARRISON AVE",
            "address_2": "YAWKEY 6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182310",
            "telephone_number": "617-414-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2260277",
            "primary": true
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MA",
            "license": "RN2260277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.