Kelly Ward

Primary specialty

SpecialistTaxonomy code 174400000X

License

12811 Issued in OR

Practice address

816 NW Hill St
Bend, OR 97703-2925

Phone

(541) 598-5592

NPI assigned

Sep 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Team Ward LLC

  dba Bodywork of Bend

  • Massage Therapist
  • Bend, OR
  • NPI 1437862976
  NPD Authorized official
• Bodyworks of Bend

  • Specialist
  • Bend, OR
  • NPI 1033591201
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1689042871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 NW HILL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032925",
            "telephone_number": "541-598-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 NW HILL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032925",
            "telephone_number": "541-598-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "12811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warby Parker Inc.
• Lauren Ward-Selinger, ND
• Dallace Ward, AA, CADC-I, QMHA-I
• Gabrielle Ward
• James Ward, D.C.
• Michael Thomas Ward, LMT
• Su-Chin Ward
• Tabitha Ward
• Betty J Warden, LCSW
• Amy L Warinner, LPC

• Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.