Individual provider Active NPI

Jana Tomara Soward, CPNP

  • Pediatric Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1356495683
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
300242 Issued in NC
Practice address
11 Berkshire Rd
Smithfield, NC 27577
Phone
(919) 934-0564
Fax
(919) 934-9703
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 300242 NC Primary

Addresses

Primary practice location

11 Berkshire Rd
Smithfield, NC 27577

Mailing address

11 Berkshire Rd
Smithfield, NC 27577-4748
Phone (919) 934-0564

Other practice location 1

101 Kellie Dr
Smithfield, NC 27577-9443
Phone (919) 938-3749

Other identifiers 1

IdentifierTypeStateIssuer
7005951MedicaidNC

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
300242NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Care Pediatrics PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janasoward@kidscarepe.allscriptsdirect.net
  • Direct secure messaging: janasoward@jcppa.allscriptsdirect.net

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1356495683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774748",
            "telephone_number": "919-934-0564",
            "fax_number": "919-934-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-0564",
            "fax_number": "919-934-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Kellie Dr",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275779443",
            "country_code": "US",
            "telephone_number": "919-938-3749",
            "fax_number": "919-938-3795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOWARD",
        "first_name": "JANA",
        "middle_name": "TOMARA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005951",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.