Individual provider Active NPI

Elizabeth Ruth Ward

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1073137030
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5013377 Issued in NC
Practice address
4102 Ben Franklin Blvd
Durham, NC 27704-2140
Phone
(919) 972-7700
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013377 NC Primary

Addresses

Primary practice location

4102 Ben Franklin Blvd
Durham, NC 27704-2140

Mailing address

4102 Ben Franklin Blvd
Durham, NC 27704-2140
Phone (919) 972-7700

Other practice location 1

289 Olmsted Blvd
Pinehurst, NC 28374-8729
Phone (910) 295-6007

Other practice location 2

209 Millstone Dr
Hillsborough, NC 27278-8776
Phone (919) 245-5400

Other practice location 3

120 North Medical Dr Carrington Hall
Chapel Hill, NC 27599-7460
Phone (919) 966-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200924002399 NC Practitioner - Nurse Practitioner 7214356252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5013377NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Aug 31, 2022 Accepting new patients
Carolina Behavioral Care, PA Psychiatry Current Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 31, 2022 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

209 Millstone Dr
#A
Hillsborough, NC 27278
Phone (919) 245-1056

Interoperability endpoints

  • Direct secure messaging: eward217392@direct.medicine.duke.edu

Organizations & group practices 3

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1073137030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042140",
            "telephone_number": "919-972-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042140",
            "telephone_number": "919-972-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Olmsted Blvd",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748729",
            "country_code": "US",
            "telephone_number": "910-295-6007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Millstone Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272788776",
            "country_code": "US",
            "telephone_number": "919-245-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 North Medical Dr Carrington Hall",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997460",
            "country_code": "US",
            "telephone_number": "919-966-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "ELIZABETH",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.