Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLEY WARD
NPI 1730015686
Nurse Practitioner - Family in Great Neck, NY

Active since June 19, 2026
611 NORTHERN BLVD # 150, GREAT NECK, NY 11021(516) 325-7000 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Jul 21, 2026 (2 updates tracked since 2026).

About Kelley Ward NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY WARD (NPI 1730015686) is an individual family provider in Great Neck, New York, licensed in New York (360560) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1730015686
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY WARD
Location Address611 NORTHERN BLVD # 150Great Neck, NY 11021-5207
Mailing Address113 Johnson StCenterport, NY 11721-1223 · (631) 742-2770
Sole ProprietorNo
Enumeration DateJune 19, 2026
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1730015686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 360560
Also ListedRegistered NurseTaxonomy 163W00000X · License 797539 (NY)
611 NORTHERN BLVD # 150, Great Neck, NY 11021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Ward's NPI number?

The NPI number for Kelley Ward is 1730015686. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Kelley Ward located?

Kelley Ward practices at 611 Northern Blvd # 150, Great Neck, NY 11021. The listed phone number is (516) 325-7000.

What is Kelley Ward's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelley Ward was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.