Active NPI
Andrea Ward, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Keizer, OR
National Provider Identifier
1932879418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202109923NP-PP
- Practice address
- 3787 River Rd N Ste a
Keizer, OR 97303-4899 - Phone
- (503) 569-2879
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202109923NP-PP | OR | Primary |
Addresses
Primary practice location
3787 River Rd N Ste a
Keizer, OR 97303-4899
Mailing address
3787 River Rd N Ste a
Keizer, OR 97303-4899
Phone (971) 312-7163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500799433 | Medicaid | OR |
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 |
|---|---|---|---|
| 202109923NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1932879418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 RIVER RD N STE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034899",
"telephone_number": "971-312-7163",
"fax_number": "503-362-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 RIVER RD N STE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034899",
"telephone_number": "503-569-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ANDREA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202109923NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500799433",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.