Individual provider Active NPI

Kisty Ward, CNM

  • Advanced Practice Midwife
  • Cleveland, UT
National Provider Identifier
1073349437
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
PO Box 441
Cleveland, UT 84518-0441
Phone
(435) 749-9959
NPI assigned
Sep 12, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

PO Box 441
Cleveland, UT 84518-0441

Mailing address

PO Box 441
Cleveland, UT 84518-0441
Phone (435) 749-9959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324001716 UT Practitioner - Certified Nurse Midwife (CNM) 6800318445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
David C Bradshaw MD PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

280 N Hospital Dr
Ste 2
Price, UT 84501
Phone (435) 613-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3602/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kisty.ward.1@3602.direct.athenahealth.com
  • Direct secure messaging: ldo6758@yourcarecommunity.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1073349437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "CLEVELAND",
            "state": "UT",
            "postal_code": "845180441",
            "telephone_number": "435-749-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "CLEVELAND",
            "state": "UT",
            "postal_code": "845180441",
            "telephone_number": "435-749-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KISTY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, UT

Sources for this page

Verify at the official NPI Registry.