Stacey Ward Beran

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209013740 Issued in IL

Practice address

7464 N Sheridan Rd
Chicago, IL 60626-1817

Phone

(773) 338-0200

NPI assigned

Dec 28, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: swardberan123918@uchospital.direct-ci.com

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1760847248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 GROSS POINT RD APT 308",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7464 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261817",
            "telephone_number": "773-338-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD BERAN",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209013740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warby Parker Inc.
• Warby Parker Inc.
• Warby Parker Inc.
• Olivia Warchol, PA-C
• David Warciak, DPM
• Ward House Supportive Services, Inc
• Ward Speech Therapy, LLC
• Rosanna Marie Ward-Brown
• Allie Ward
• Allyson Nicole Ward, NNP

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.