Shane Catherine Ward, A.R.N.P., CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9181246 Issued in FL

Practice address

5992 Berryhill Rd
Suite 201
Milton, FL 32570-1013

Phone

(850) 626-9626

Fax

(850) 626-9606

NPI assigned

Oct 8, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1871744730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 OTTER POND RD",
            "city": "WESTVILLE",
            "state": "FL",
            "postal_code": "324642809",
            "telephone_number": "850-859-2611",
            "fax_number": "850-859-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "address_2": "SUITE 201",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-626-9626",
            "fax_number": "850-626-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHANE",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P., CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9181246",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Walker, MEDICAL BILLER
• Jennifer Lanette Walker, MSW
• Ryan Blake Walter
• Alyssa Waner
• Joshua Ward
• Kasey Lynn Warford
• Matthew Arnold Warner, MD
• Heather Lorraine Washburn
• Tamara Delphine Washington, FNP
• Rebecha Waterhouse

• Family Nurse Practitioner in Milton, FL
• Providers in Milton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.