Individual provider Active NPI

Sherry T Ward, APRN

  • Family Nurse Practitioner
  • Miramar Beach, FL
National Provider Identifier
1306848874
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2714622 Issued in FL
Practice address
12598 Emerald Coast Pkwy W Unit 101
Miramar Beach, FL 32550-2102
Phone
(850) 654-8878
NPI assigned
Aug 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN073715 NP GA
Family Nurse Practitioner 363LF0000X ARNP 2714622 FL Primary

Addresses

Primary practice location

12598 Emerald Coast Pkwy W Unit 101
Miramar Beach, FL 32550-2102

Mailing address

PO Box 6984
Miramar Beach, FL 32550-1018
Phone (850) 837-0769

Other names 1

  • Ms. Sherry Tillman 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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 2714622FLMDFamily Nurse Practitioner
RN073715 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Urgent Care LLC PastSince Aug 6, 2007 Accepting new patients
Lamar Moree, Jr. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1941/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1306848874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6984",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501018",
            "telephone_number": "850-837-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 EMERALD COAST PKWY W UNIT 101",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325502102",
            "telephone_number": "850-654-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHERRY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-13",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN073715 NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2714622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "WARD",
            "middle_name": "TILLMAN",
            "prefix": "MS.",
            "credential": "ARNP, APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.