Active NPI
Andrea Ward, REGISTERED NURSE
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1356600837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1121494-30
- Practice address
- 4620 W Concordia Ave
Milwaukee, WI 53216-3350 - Phone
- (414) 388-8293
- NPI assigned
- May 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 1121494-30 | WI | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 1121494-30 | WI | |
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 1121494-30 | WI | |
| Diabetes Educator Registered Nurse | 163WD0400X | 1121494-30 | WI | |
| Home Health Registered Nurse | 163WH0200X | 1121494-30 | WI | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 1121494-30 | WI | |
| Nutrition Support Registered Nurse | 163WN1003X | 1121494-30 | WI | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1121494-30 | WI | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Registered Nurse | 163W00000X | 1121494-30 | WI | Primary |
Addresses
Primary practice location
4620 W Concordia Ave
Milwaukee, WI 53216-3350
Mailing address
4620 W Concordia Ave
Milwaukee, WI 53216-3350
Phone (414) 388-8293
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121494-30 | WI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Family Service, LLC | Multi-Specialty | Past | Accepting new patients |
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": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1356600837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 W CONCORDIA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532163350",
"telephone_number": "414-388-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 W CONCORDIA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532163350",
"telephone_number": "414-388-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ANDREA",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Nutrition Support",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WI",
"license": "1121494-30",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "1121494-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.