Active NPI
Jennifer Ward, R.N.
- Registered Nurse
- Pueblo, CO
National Provider Identifier
1205199718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-164458
- Practice address
- 101 W 9TH St
Pueblo, CO 81003-4103 - Phone
- (719) 583-4431
- Fax
- (719) 583-4439
- NPI assigned
- Jun 19, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-164458 | CO | Primary |
Addresses
Primary practice location
101 W 9TH St
Pueblo, CO 81003-4103
Mailing address
1201 Longwood Ave
Pueblo, CO 81004-1042
Phone (719) 583-4431
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-164458 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1205199718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 LONGWOOD AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041042",
"telephone_number": "719-583-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 9TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810034103",
"telephone_number": "719-583-4431",
"fax_number": "719-583-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JENNIFER",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN-164458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.