Shawnly Heath Ward, SFIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Surface Warfare Medical Institute - East
459 Bellinger Blvd
Norfolk, VA 23511

Phone

(757) 322-9298

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1053629964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 GUST LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232906",
            "telephone_number": "757-462-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SURFACE WARFARE MEDICAL INSTITUTE - EAST",
            "address_2": "459 BELLINGER BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "telephone_number": "757-322-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHAWNLY",
        "middle_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "SFIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ward, DO
• Ivonee Ward
• Jennifer Robin Ward, RN, APRN-BC (ANP)
• Kim Ward
• Shantoya Renee Ward
• Stefanie K Ward, MD
• Virginia Ward, PHARMD
• Zsania Ward, RDH
• Ward'S Corner Pediatrics
• Alyssa Ricki Ware

• Independent Duty Corpsman in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.