Active NPI
Kim A Ware, DNP
- Pediatric Nurse Practitioner
- Fort Stewart, GA
National Provider Identifier
1790739399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN088962
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5674 - Phone
- (912) 435-6965
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | RN088962 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN088962 | GA | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5674
Mailing address
8065 S Main St Ste 900
Helen, GA 30545-3627
Phone (912) 312-9807
Other practice location 1
8065 S Main St Ste 900
Helen, GA 30545-3627
Phone (912) 312-9807
Other practice location 2
469 Highland Ave Ste A
Augusta, GA 30909-3742
Phone (706) 969-1651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN088962 | GA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1790739399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8065 S MAIN ST STE 900",
"city": "HELEN",
"state": "GA",
"postal_code": "305453627",
"telephone_number": "912-312-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145674",
"telephone_number": "912-435-6965"
}
],
"practiceLocations": [
{
"address_1": "8065 S Main St Ste 900",
"address_purpose": "LOCATION",
"city": "Helen",
"state": "GA",
"postal_code": "305453627",
"country_code": "US",
"telephone_number": "912-312-9807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "469 Highland Ave Ste A",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309093742",
"country_code": "US",
"telephone_number": "706-969-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARE",
"first_name": "KIM",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "GA",
"license": "RN088962",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN088962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.