Individual provider Active NPI

Kimberly Wynell Ward, AU.D.

  • Audiologist
  • Hattiesburg, MS
National Provider Identifier
1255646717
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A3484 Issued in MS
Practice address
118 College Drive #5092
Hattiesburg, MS 39406
Phone
(601) 266-5257
Fax
(601) 266-5224
NPI assigned
Aug 9, 2010
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 327 AR
Audiologist 231H00000X A3484 MS Primary

Addresses

Primary practice location

118 College Drive #5092
Hattiesburg, MS 39406

Mailing address

118 College Drive #5092
Hattiesburg, MS 39406
Phone (601) 266-5257

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
327ARMDAudiologist
A3484MSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Southern Mississippi Audiologist PastSince Jun 3, 2025 Accepting new patients
University of Southern Mississippi PastSince Jun 3, 2025 Accepting new patients
The University of Southern Mississippi Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1255646717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DRIVE #5092",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39406",
            "telephone_number": "601-266-5257",
            "fax_number": "601-266-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DRIVE #5092",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39406",
            "telephone_number": "601-266-5257",
            "fax_number": "601-266-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KIMBERLY",
        "middle_name": "WYNELL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "327",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A3484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.