Individual provider Active NPI

Iva Darkina Ward, MS, LAT, ATC

  • Athletic Trainer
  • Chapel Hill, NC
National Provider Identifier
1306203393
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
LAT-1653 Issued in NC
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

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LAT-1653OtherNCLICENCED ATHLETIC TRAINER
2000000710OtherNCATHLETIC TRANIER CARTIFIED

Other names 1

  • Iva Darkina Ward Professional name

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

LicenseStateTypeSpecialty
LAT-1653NCMDAthletic 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.

Verify at the official NPI Registry.