Individual provider Active NPI

Erin Bree Ward, PNP

  • Nurse Practitioner
  • Bear, DE
National Provider Identifier
1942581400
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LJ-0000269 Issued in DE
Practice address
404 Fox Hunt Dr
Bear, DE 19701-2538
Phone
(302) 836-2864
Fax
(302) 918-3219
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LJ-0000269 DE Primary

Addresses

Primary practice location

404 Fox Hunt Dr
Bear, DE 19701-2538

Mailing address

1010 N Bancroft Pkwy
Suite 203
Wilmington, DE 19805-2690
Phone (302) 652-2455

Other names 1

  • Ms. Erin Bree Blakeley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20141218002594 MN Practitioner - Nurse Practitioner 3870751357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1147MNMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Dec 12, 2014 Accepting new patients
Fairview Clinics CurrentSince Dec 12, 2014 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2535 University Ave SE
Minneapolis, MN 55414
Phone (612) 672-2350

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

Interoperability endpoints

  • Direct secure messaging: eward327127@fairview.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1942581400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-652-2455",
            "fax_number": "302-652-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012538",
            "telephone_number": "302-836-2864",
            "fax_number": "302-918-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ERIN",
        "middle_name": "BREE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LJ-0000269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BLAKELEY",
            "middle_name": "BREE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.