Active NPI
Iva Darkina Ward, MS, LAT, ATC
- Athletic Trainer
- Chapel Hill, NC
National Provider Identifier
1306203393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-1653
- Practice address
- William B Aycock Building
590 Manning Drive , Campus Box 7595
Chapel Hill, NC 27599-0001 - Phone
- (984) 984-2257
- Fax
- (919) 966-6126
- NPI assigned
- Jan 21, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-1653 | NC | Primary |
Addresses
Primary practice location
William B Aycock Building
590 Manning Drive , Campus Box 7595
Chapel Hill, NC 27599-0001
Mailing address
2011 Glengate Cir
Morrisville, NC 27560-6967
Phone (843) 385-6415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAT-1653 | Other | NC | LICENCED ATHLETIC TRAINER |
| 2000000710 | Other | NC | ATHLETIC TRANIER CARTIFIED |
Other names 1
- Iva Darkina Ward
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-1653 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1306203393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 GLENGATE CIR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606967",
"telephone_number": "843-385-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WILLIAM B AYCOCK BUILDING",
"address_2": "590 MANNING DRIVE , CAMPUS BOX 7595",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "984-984-2257",
"fax_number": "919-966-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "IVA",
"middle_name": "DARKINA",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-1653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCED ATHLETIC TRAINER",
"identifier": "LAT-1653",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRANIER CARTIFIED",
"identifier": "2000000710",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IVA",
"last_name": "WARD",
"middle_name": "DARKINA",
"credential": "MS, LAT,ATC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.