Sara E Ward, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29832 Issued in TN

Practice address

54 Exeter Rd Ste B
Jackson, TN 38305-1985

Phone

(731) 265-6197

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humboldt Family Walk-in Clinic LLCGroup PAC ID 3072899434, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Humboldt Family Walk-in Clinic LLC

  • Rural Health Clinic/Center
  • Humboldt, TN
  • NPI 1881135895
  Medicare reassignment Care Compare group NPD
• Urgent & Specialty Care Clinic

  • Clinic/Center
  • Parsons, TN
  • NPI 1427579192
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1992376115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 EXETER RD",
            "address_2": "STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051985",
            "telephone_number": "731-265-6197",
            "fax_number": "731-265-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 EXETER RD STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051985",
            "telephone_number": "731-265-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Wallis, W.H.N.P.
• Morgan Walls, PHYSICAL THERAPY
• Rose Marie Walters, FNP
• Dong Wang, M.D.
• Austin Ward, M.S.
• Bethany Ann Wardlow, MD
• Jeffrey G Wardlow, CASE MANAGER
• Phyllis A Wardlow, PTA
• Chenise Ware, CASE MANAGER
• James G Warmbrod, MD

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.
• 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.