Individual provider Active NPI

Susan A Ward, ARNP,CNM

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1487815726
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0026912 Issued in OK
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

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100028850MedicaidOK

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

LicenseStateTypeSpecialty
R0026912OKMDFamily 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.

Verify at the official NPI Registry.