Active NPI
Kathleen Ward, CRNP
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1124233077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP002183D
- Practice address
- 7700 Germantown Ave
Philadelphia, PA 19118-3549 - Phone
- (215) 247-1172
- Fax
- (215) 247-0663
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP002183D | PA | Primary |
Addresses
Primary practice location
7700 Germantown Ave
Philadelphia, PA 19118-3549
Mailing address
7700 Germantown Ave
Philadelphia, PA 19118-3549
Phone (215) 247-1172
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN291720L | Other | PA | RN LICENSE |
| 002675 | Other | PA | PRESCRIPTION AUTH |
| 93082 | Other | PA | NURSE CERTIFICATE |
| SP002183D | Other | PA | CRNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP002183D | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1124233077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183549",
"telephone_number": "215-247-1172",
"fax_number": "215-247-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183549",
"telephone_number": "215-247-1172",
"fax_number": "215-247-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KATHLEEN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP002183D",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN291720L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTION AUTH",
"identifier": "002675",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE CERTIFICATE",
"identifier": "93082",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LICENSE",
"identifier": "SP002183D",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.