Active NPI
Jennifer Ward, NP
- Family Nurse Practitioner
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31987
- Practice address
- 108 W Blackwell St
Tullahoma, TN 37388-3505 - Phone
- (931) 841-3821
- Fax
- (931) 841-3869
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31987 | TN | Primary |
Addresses
Primary practice location
108 W Blackwell St
Tullahoma, TN 37388-3505
Mailing address
108 W Blackwell St
Tullahoma, TN 37388-3505
Phone (931) 841-3821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220915001779 | TN | Practitioner - Nurse Practitioner | 5890170542 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amg-Southern Tennessee LLC
Practice addresses (Care Compare)
108 W Blackwell St
Tullahoma, TN 37388-3505
Phone (931) 841-3821
Hospital & facility affiliations
- Vanderbilt Tullahoma-Harton Hospital
- Southern Tennessee Regional Health System Winchest
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Amg -Southern Tennessee LLC | Past | Accepting new patients |
Locations
1321 Huntsville Hwy
Fayetteville, TN 37334
Phone (931) 297-2201
108 W Blackwell St
Tullahoma, TN 37388
Phone (931) 841-3821
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
Interoperability endpoints
- jennifer.ward.1@19363.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1063140051
-
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1275375818
-
- Rural Health Clinic/Center
- Lynchburg, TN
- NPI 1477395192
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1619605607
-
- Rural Health Clinic/Center
- Sewanee, TN
- NPI 1770284119
-
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1801638549
-
- Rural Health Clinic/Center
- Monteagle, TN
- NPI 1922388297
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Internal Medicine Physician
- Monteagle, TN
- NPI 1699792390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, TN
- NPI 1467408781
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1114648490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 W BLACKWELL ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883505",
"telephone_number": "931-841-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W BLACKWELL ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883505",
"telephone_number": "931-841-3821",
"fax_number": "931-841-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2025-02-04",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "31987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.