Tiffany A Ward, ARNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Priest River, ID
NPI 1033749262 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1033749262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 73614 (ID)
- Practice address
- 6509 Highway 2 Ste 101
Priest River, ID 83856-6633 - Phone
- (280) 448-2321
- Fax
- (208) 448-1317
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boundary Regional Community Health Center Inc
Practice addresses (Care Compare)
6509 Hwy 2
Suite 101
Priest River, ID 83856-6633
Phone (208) 448-2321
Hospital & facility affiliations
- Eden Home Health
- Bonner General Hospital
- Newport Community Hospital
- Kootenai Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719000018 | ID | Practitioner - Nurse Practitioner | 6608312210 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73614 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boundary Regional Community Health Center, Inc. | Current |
Accepting new patients | |
| Boundary Regional Community Health Center Inc | Current |
Accepting new patients | |
| Boundary Regional Community Health Center, Inc. | Past | Accepting new patients | |
| Boundary Regional Community Health Center Inc | Past | Accepting new patients |
Locations
6615 Comanche St
Bonners Ferry, ID 83805
Phone (208) 267-1718
6509 Highway 2
Ste 101
Priest River, ID 83856
Phone (208) 448-2321
810 N Sixth Ave
Sandpoint, ID 83864
Phone (208) 263-7101
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tiffany.ward.1@32745.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 73614 | ID | Yes |
Addresses
Primary practice location
6509 Highway 2 Ste 101
Priest River, ID 83856-6633
Mailing address
136 Breezy Way
Priest River, ID 83856-6633
Phone (832) 296-6867
Other providers in Priest River, ID
- The Peckham Foundation, Inc
- Tyler Shoemaker DMD PC
- David Michael Underhill
- Thomas Vanderholm
- Eric Daniel Ward
- West Bonner County School District #83
- White Tail Transportation, Inc.
- Sally Ann White
- Jill Willett
All providers in Priest River, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.