Active NPI
Diane Rose Ward, REGISTERED NURSE
- Registered Nurse
- Grand Rapids, MN
National Provider Identifier
1699525147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2458666
- Practice address
- 1107 NW 4TH St
Grand Rapids, MN 55744-2205 - Phone
- (218) 326-0095
- Fax
- (218) 999-0214
- NPI assigned
- Mar 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2458666 | MN | Primary |
Addresses
Primary practice location
1107 NW 4TH St
Grand Rapids, MN 55744-2205
Mailing address
28 NE 10TH Ave
Grand Rapids, MN 55744-3111
Phone (218) 398-0335
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 |
|---|---|---|---|
| 2458666 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2Care4U LLC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Grand Rapids, MN
- NPI 1366833600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1699525147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 NE 10TH AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557443111",
"telephone_number": "218-398-0335",
"fax_number": "218-999-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 NW 4TH ST",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557442205",
"telephone_number": "218-326-0095",
"fax_number": "218-999-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "DIANE",
"middle_name": "ROSE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2458666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.