MS. BECCA JO WARD NP NPI 1124387857

NPI Information

NPI: 1124387857
Provider Name: MS. BECCA JO WARD, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-2600
Get Directions

MS. Becca Jo Ward, NP is a psychiatric/mental health nurse practitioner in Johnson City, TN. MS. Becca Jo Ward, NP NPI is 1124387857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604-621
Phone: (423) 232-2600
Fax: (423) 467-3644

The NPI 1124387857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2012 and was last updated on 6/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024172778	VIRGINIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	28175679A	INDIANA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	20144	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	VVI502B288	MEDICARE PIN	VIRGINIA
2	1035I07723	MEDICARE PIN	TENNESSEE
3	M400075287	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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