Individual provider Active NPI

Crystal Amanda Ward, FNP

  • Family Nurse Practitioner
  • Chalmette, LA
National Provider Identifier
1104485010
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202002 Issued in LA
Practice address
8250 W Judge Perez Dr
Chalmette, LA 70043-1612
Phone
(504) 279-5547
Fax
(844) 877-1859
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202002 LA Primary

Addresses

Primary practice location

8250 W Judge Perez Dr
Chalmette, LA 70043-1612

Mailing address

59101 Amber St
Slidell, LA 70461-3708
Phone (985) 646-1580

Other practice location 1

216 Mystic Blvd
Houma, LA 70360-2870
Phone (985) 868-9339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220723000075 LA Practitioner - Nurse Practitioner 1355722216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health Louisiana 42 clinicians

Practice addresses (Care Compare)

3300 S Broad St
New Orleans, LA 70125-2942
Phone (504) 575-3712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202002LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana Current Accepting new patients
Access Health Louisiana CurrentSince Dec 26, 2023 Accepting new patients
Access Health Louisiana CurrentSince Dec 26, 2023 Accepting new patients
Children'S International, LLC Past Accepting new patients
Children'S International, LLC PastSince Nov 17, 2019 Accepting new patients
Children'S International L.L.C. Past Accepting new patients

Locations

2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310

843 Milling Ave
Luling, LA 70070
Phone (985) 785-5800

Interoperability endpoints

  • Direct secure messaging: crystal.ward.1@27427.direct.athenahealth.com

Organizations & group practices 6

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1104485010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59101 AMBER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613708",
            "telephone_number": "985-646-1580",
            "fax_number": "888-863-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431612",
            "telephone_number": "504-279-5547",
            "fax_number": "844-877-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Mystic Blvd",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703602870",
            "country_code": "US",
            "telephone_number": "985-868-9339",
            "fax_number": "985-868-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "CRYSTAL",
        "middle_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.