SUSAN WARD (NPI# 1073989885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073989885 |
| Entity Type | Individual |
| Full Name | SUSAN WARD |
| Credential | AGAC-NP |
| Practice Address |
3202 S W S Young Dr Suite #102 Killeen TX 76542-6537 |
| Mailing Address |
1800 Volley Ln Harker Heights TX 76548-6034 |
| Practice Telephone | 2542473322 |
| Mailing Telephone | 2145007167 |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP128126 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP128126 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023303260 | Susan Ward | Nurse Practitioner | 1906 Autumn Glen Cir, Victor, ID 83455-4629 | 2011-06-16 |
| 1760614531 | Susan Marie Ward | Marriage & Family Therapist | 1900 Nw Dock Pl, Suite 7, Seattle, WA 98107-4813 | 2009-08-12 |
| 1174787527 | Susan Joanne Ward Ward | Social Worker | 3800 Lyons Rd, Lyons, MI 48851-9774 | 2008-07-15 |
| 1487815726 | Susan A Ward | Nurse Practitioner | 1508 Nw 106th St, Oklahoma City, OK 73114-5214 | 2008-06-19 |
| 1699947507 | Susan E. Ward | Registered Nurse | 3567 Main Street, Vt-7a, Manchester Village, VT 05254 | 2008-03-31 |
| 1821201138 | Susan Warren Ward | Physical Therapist | 919 Hearthside Ct, New Bern, NC 28560-7225 | 2007-05-07 |
| 1497971154 | Susan Pagach Ward | Contractor | 618 Riverwood Ave, Point Pleasant Boro, NJ 08742-2719 | 2007-04-18 |
| 1548307770 | Susan Kay Ward | Registered Nurse | 5022 Closeburn Ct, Dublin, OH 43017-8332 | 2007-01-30 |
| 1912505256 | Susan Rae Ward | Technician | 120 2nd Ave, Hinton, WV 25951-2402 | 2020-10-09 |
| 1568019131 | Susan Carlton Ward | Respiratory Therapist, Registered | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2019-08-19 |
| Street Address |
3202 S W S YOUNG DR SUITE #102 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487048435 | Cfd Group, Pllc | Dentist | 3202 S W S Young Dr, Suite 101, Killeen, TX 76542-6537 | 2015-03-26 |
| 1083151377 | Freedom Urgent Care Pllc | Clinic/Center | 3202 S W S Young Dr, Suite 106, Killeen, TX 76542-6537 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.