Active NPI
Stacy Ward, RN
- Registered Nurse
- Greenville, MI
National Provider Identifier
1235010042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704316648
- Practice address
- 12231 Stacey Woods CT NE
Greenville, MI 48838-9049 - Phone
- (616) 446-5620
- NPI assigned
- Sep 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4704316648 | MI | |
| Registered Nurse | 163W00000X | 4704316648 | MI | Primary |
Addresses
Primary practice location
12231 Stacey Woods CT NE
Greenville, MI 48838-9049
Mailing address
12231 Stacey Woods CT NE
Greenville, MI 48838-9049
Phone (616) 446-5620
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 |
|---|---|---|---|
| 4704316648 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1235010042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12231 STACEY WOODS CT NE",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488389049",
"telephone_number": "616-446-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12231 STACEY WOODS CT NE",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488389049",
"telephone_number": "616-446-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "STACY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4704316648",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704316648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.