Charlene Laura Ward, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

100933 Issued in MT

Practice address

935 Highland Blvd Ste 2180
Bozeman, MT 59715

Phone

(406) 414-5512

NPI assigned

Sep 6, 2012

Last updated

Mar 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charlene Laura Moore Former name

Medicare fee-for-service enrollment

Enrolled in MT

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

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpine Orthopedics & Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bozeman, MT
  • NPI 1083626832
  Medicare reassignment NPD
• Bozeman Health Deaconess Hospital

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1619347390
  Medicare reassignment NPD
• Bozeman Health Deaconess Hospital

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1013733955
  NPD
• Bozeman Health Deaconess Hospital

  • Emergency Medicine Physician
  • Bozeman, MT
  • NPI 1437529112
  NPD

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1851640767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 HIGHLAND BLVD",
            "address_2": "STE 2180",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156904",
            "telephone_number": "406-414-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHLAND BLVD STE 2180",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-414-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CHARLENE",
        "middle_name": "LAURA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100933",
            "primary": true
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "MT",
            "license": "NUR-RN-LIC-47637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "MOORE",
            "middle_name": "LAURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Walsh, RN
• Lou Walters, N.D.
• Alan A Wanderer, MD
• Linnea Marie Wang, LCPC
• Brittney Ward, DO
• Noah Ward, LCSWA, LCASA
• Linda Kay Waring, MD
• Diane Duvall Warner, MD
• Kristi Marie Washburn-Tolsma, M.D.
• Brian Craig Wasilewski

• Family Nurse Practitioner in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.