Individual provider Active NPI

Allison Rae Ward, NP-C

  • Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1316448277
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013863 Issued in NC
Practice address
10900 Nuckols Rd Ste 110
Glen Allen, VA 23060-9246
Phone
(314) 492-2412
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041442062 IL
Registered Nurse 163W00000X 2007023581 MO
Nurse Practitioner 363L00000X 2017008073 MO
Nurse Practitioner 363L00000X 209016662 IL
Nurse Practitioner 363L00000X 5013863 NC Primary

Addresses

Primary practice location

10900 Nuckols Rd Ste 110
Glen Allen, VA 23060-9246

Mailing address

10900 Nuckols Rd Ste 110
Glen Allen, VA 23060-9246
Phone (314) 492-2412

Other practice location 1

525 N Tryon St
Charlotte, NC 28202-0202
Phone (866) 949-0108

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041442062ILMDRegistered Nurse
2007023581MOMDRegistered Nurse
209016662ILMDNurse Practitioner
2017008073MOMDNurse Practitioner
5013863NCMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_award86@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1316448277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 NUCKOLS RD STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609246",
            "telephone_number": "314-492-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 NUCKOLS RD STE 110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609246",
            "telephone_number": "314-492-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020202",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "ALLISON",
        "middle_name": "RAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041442062",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007023581",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017008073",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016662",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.