Active NPI
Joanna Tripp Ware, CNS, ARNP
- Gerontology Clinical Nurse Specialist
- Ponca City, OK
National Provider Identifier
1578858189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 54172
- Practice address
- 3011 N Union St
Ponca City, OK 74601-7400 - Phone
- (580) 304-7067
- NPI assigned
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 54172 | OK | Primary |
Addresses
Primary practice location
3011 N Union St
Ponca City, OK 74601-7400
Mailing address
3011 N Union St
Ponca City, OK 74601-7400
Phone (580) 304-7067
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12353876 | Other | CAQH | |
| 200431120A | Medicaid | OK | |
| R0054172 | Other | OK | APRN |
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54172 | OK | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feet Plus Solutions Inc | Past | Accepting new patients | |
| Premier Physical Medicine LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Ponca City, OK
- NPI 1710229836
-
- Internal Medicine Physician
- Bentonville, AR
- NPI 1376841171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1578858189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 N UNION ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746017400",
"telephone_number": "580-304-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 N UNION ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746017400",
"telephone_number": "580-304-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "JOANNA",
"middle_name": "TRIPP",
"credential": "CNS, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "OK",
"license": "54172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12353876",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200431120A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "R0054172",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.