Active NPI
Laurel Aine Ward
- Adult Health Clinical Nurse Specialist
- Roseville, CA
National Provider Identifier
1629815758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- CNS5043
- Practice address
- 1 Medical Plaza Dr
Roseville, CA 95661-3037 - Phone
- (530) 613-3862
- NPI assigned
- Jul 15, 2024
- Last updated
- Jul 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | CNS5043 | CA | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | CNS5043 | CA |
Addresses
Primary practice location
1 Medical Plaza Dr
Roseville, CA 95661-3037
Mailing address
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (530) 613-3862
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 |
|---|---|---|---|
| CNS5043 | CA | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1629815758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PLAZA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613037",
"telephone_number": "530-613-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PLAZA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613037",
"telephone_number": "530-613-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "LAUREL",
"middle_name": "AINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "CA",
"license": "CNS5043",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "CNS5043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.