Amanda A Ward, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

295227-4405 Issued in UT

Practice address

5740 Crestwood Dr
Ogden, UT 84405

Phone

(801) 479-7771

Fax

(801) 479-7795

NPI assigned

Mar 18, 2015

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

After Hours Medical LLCGroup PAC ID 8123926904, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

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.

• After Hours Medical LLC

  dba Medallus Medical

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1437251279
  Medicare reassignment Care Compare group NPD (past)
• Amazing Medical Associates, Inc

  dba AMG Senior Medical Group

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1487836532
  Medicare reassignment NPD
• Ogden Clinic PC

  • Family Medicine Physician
  • Ogden, UT
  • NPI 1578550083
  Medicare reassignment NPD
• Woundtech of Utah, Inc.

  • Infectious Disease Physician
  • Salt Lake City, UT
  • NPI 1750922415
  Medicare reassignment NPD
• After Hours Medical LLC, Dba Medallus Medical

  dba After Hours Holladay Clinic

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1992078349
  NPD
• Ogden Clinic Specialty Services LLC

  dba Ogden Clinic PC

  • Sports Medicine (Family Medicine) Physician
  • Ogden, UT
  • NPI 1114203668
  NPD

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1164816906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078524",
            "telephone_number": "801-397-6200",
            "fax_number": "801-397-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 CRESTWOOD DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-479-7771",
            "fax_number": "801-479-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "295227-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164816906",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingdom Wanjoku
• War LLC (Workout Addiction Recovery)
• Warbird Medical LLC
• Sara Warburton
• Aaron Ward, DMD
• Kelsie Ward
• Melissa Ward
• Randi R Ward, PA
• Rebecca Ward
• Sheldon Don Ward, MD

• Family Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.

Verify at the official NPI Registry.