Susan Ward, AGAC-NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP128126 Issued in TX

Practice address

3202 S W S Young Dr
Suite #102
Killeen, TX 76542-6537

Phone

(254) 247-3322

NPI assigned

Aug 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dward262102@ahs.direct-ci.com

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1073989885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 VOLLEY LN",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486034",
            "telephone_number": "214-500-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S W S YOUNG DR",
            "address_2": "SUITE #102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426537",
            "telephone_number": "254-247-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SUSAN",
        "credential": "AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP128126",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP128126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daranisha Trichelle Wanamaker
• Hong Wang, ACUPUNCTURIST
• Lester P Wang, M.D.
• Dekeithra Ward, L.V.N.
• Jessica Ward
• Grace Wardrop
• Ashleigh Ware
• Megan E Ware, PT, DPT
• Alissiya Warren
• Annetta Lucille Warren

• Acute Care Nurse Practitioner in Killeen, TX
• Providers in Killeen, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.