Active NPI
Sherry T Ward, APRN
- Family Nurse Practitioner
- Miramar Beach, FL
National Provider Identifier
1306848874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 2714622
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2714622 | FL | MD | Family Nurse Practitioner |
| RN073715 NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Urgent Care LLC | Past | Accepting new patients | |
| Lamar Moree, Jr. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Destin, FL
- NPI 1396865556
-
- Interventional Pain Medicine Physician
- Albany, GA
- NPI 1316952054
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.