Individual provider Active NPI

Nicole Elizabeth Ward, D.C.

  • Chiropractor
  • Gulf Shores, AL
National Provider Identifier
1972878569
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2362 Issued in AL
Practice address
3947 Gulf Shores Pkwy
Suite 130
Gulf Shores, AL 36542-2735
Phone
(251) 943-5600
Fax
(251) 943-1003
NPI assigned
Mar 14, 2012
Last updated
Feb 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2362 AL Primary

Addresses

Primary practice location

3947 Gulf Shores Pkwy
Suite 130
Gulf Shores, AL 36542-2735

Mailing address

3947 Gulf Shores Pkwy
Suite 130
Gulf Shores, AL 36542-2735
Phone (251) 943-5600

Other identifiers 1

IdentifierTypeStateIssuer
1528437464OtherALGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000203 AL Practitioner - Chiropractic 4880847771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic ConnectionGroup PAC ID 2961707773, 2 clinicians

Practice addresses (Care Compare)

3947 Gulf Shores Pkwy
Suite 280
Gulf Shores, AL 36542-2862
Phone (251) 943-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2362ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Connection Chiropractor CurrentSince Dec 25, 2015 Accepting new patients
Family Chiropractic & Health Center, LLC Chiropractor CurrentSince Oct 7, 2012 Accepting new patients

Locations

3947 Gulf Shores Pkwy
Ste 130
Gulf Shores, AL 36542
Phone (251) 943-5600

3947 Gulf Shores Pkwy
Ste 280
Gulf Shores, AL 36542
Phone (251) 943-5600

1515 University Blvd
Tuscaloosa, AL 35401
Phone (205) 333-2220

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1972878569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 GULF SHORES PKWY",
            "address_2": "SUITE 130",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422735",
            "telephone_number": "251-943-5600",
            "fax_number": "251-943-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 GULF SHORES PKWY",
            "address_2": "SUITE 130",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422735",
            "telephone_number": "251-943-5600",
            "fax_number": "251-943-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1528437464",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.