Active NPI
Susan A Ward, ARNP,CNM
- Family Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1487815726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0026912
- Practice address
- 1508 NW 106TH St
Oklahoma City, OK 73114-5214 - Phone
- (405) 751-1774
- Fax
- (405) 752-6833
- NPI assigned
- Jun 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0026912 | OK | Primary |
| Advanced Practice Midwife | 367A00000X | R0026912 | OK |
Addresses
Primary practice location
1508 NW 106TH St
Oklahoma City, OK 73114-5214
Mailing address
1301 NW 21St St
Oklahoma City, OK 73106-4019
Phone (405) 528-4213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100028850 | Medicaid | OK |
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 Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0026912 | OK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1487815726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 NW 21ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731064019",
"telephone_number": "405-528-4213",
"fax_number": "405-752-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 NW 106TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731145214",
"telephone_number": "405-751-1774",
"fax_number": "405-752-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "SUSAN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "ARNP,CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0026912",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OK",
"license": "R0026912",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100028850",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.