Individual provider Active NPI

Brooke Ward, DNP

  • Acute Care Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174351928
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
36641 Issued in TN
Practice address
5645 Murray Ave
Memphis, TN 38119-3835
Phone
(901) 779-5000
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 36641 TN Primary

Addresses

Primary practice location

5645 Murray Ave
Memphis, TN 38119-3835

Mailing address

5645 Murray Ave
Memphis, TN 38119-3835
Phone (901) 779-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029004552 TN Practitioner - Nurse Practitioner 4385177385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeni Interventional, PLLCGroup PAC ID 2466792338, 4 clinicians

Practice addresses (Care Compare)

5645 Murray Ave
Suite 102
Memphis, TN 38119-3824
Phone (901) 779-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zeni Interventional PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

5645 Murray Ave
Ste 102
Memphis, TN 38119
Phone (901) 779-5000

6126 Poplar Ave
Memphis, TN 38119
Phone (901) 779-5000

Organizations & group practices 1

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1174351928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MURRAY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193835",
            "telephone_number": "901-779-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MURRAY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193835",
            "telephone_number": "901-779-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BROOKE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "36641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.