Individual provider Active NPI

Leah D Ward, MSN, MA, A-GNP-C

  • Adult Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1679030142
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
8117 Issued in CT
Practice address
100 Pearl St FL 14
Hartford, CT 06103-4500
Phone
(888) 355-3902
Fax
(855) 737-5542
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X E61150 CT
Adult Health Nurse Practitioner 363LA2200X 8117 CT Primary

Addresses

Primary practice location

100 Pearl St FL 14
Hartford, CT 06103-4500

Mailing address

333 Commerce St Ste 700
Nashville, TN 37201-1835

Other practice location 1

64 Double Hill Rd
Bethlehem, CT 06751-1101
Phone (203) 884-8652

Other names 1

  • Mrs. Leah D Ward Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330000538 MA Practitioner - Nurse Practitioner 2860825858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8117CTMDPharmacist
E61150CTMDAdult Health Nurse Practitioner

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1679030142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEARL ST FL 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061034500",
            "telephone_number": "888-355-3902",
            "fax_number": "855-737-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Double Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "CT",
            "postal_code": "067511101",
            "country_code": "US",
            "telephone_number": "203-884-8652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "LEAH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSN, MA, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "E61150",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WARD",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "MSN, MA, A-GNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.