TASHA WADE


Address: 606 Huron Ave, Memphis, TN 38107-1405
Phone: 9018603230

TASHA WADE (NPI# 1164986410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164986410
Entity Type Individual
Full Name TASHA WADE
Practice Address 606 Huron Ave
Memphis
TN 38107-1405
Mailing Address 5957 Baird Dr
Memphis
TN 38119-7302
Practice Telephone 9018603230
Mailing Telephone 9018603230
Enumeration Date 2019-01-30
Last Update Date 2019-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171WV0202X Contractor
Specialization: Vehicle Modifications
Other Service Providers
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN NON MEDICAL TRANSPORTATION 833104295 01
TN NON MEDICAL EMERGENCY TRANSPORTATION 833104295 01
TN NEMT 833104295 01

Office Location

Street Address 606 HURON AVE
City MEMPHIS
State TN
Zip Code 38107-1405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346801925 Sarah E. Stevenson Respiratory Therapist, Certified 236 Caldwell Ave., Memphis, TN 38107 2019-06-25
1235516097 Behavioral Healthcare Center At Memphis, Inc. Psychiatric Hospital 1505 N Second Street, Memphis, TN 38107 2015-04-30
1568732766 Mary Geneva Scott Pharmacist 957 Elm Grove Cr, Collierville, TN 38107 2012-01-04
1053375634 Harbor View Nursing and Rehabilitation Center Inc Nursing Facility/Intermediate Care Facility 1513 N 2nd St, Memphis, TN 38107 2006-04-12
1902289937 Emily Williams Speech-Language Pathologist 1513 N 2nd St, Memphis, TN 38107-1003 2015-07-08
1043586498 Jordan A Bunn Occupational Therapist 1513 N 2nd St, Memphis, TN 38107-1003 2012-03-30
1700186624 Colleen M. Foeller Occupational Therapy Assistant 1513 N 2nd St, Memphis, TN 38107-1003 2010-10-26
1972818920 Brian Matthew Defeo Physical Therapist 1513 N 2nd St, Memphis, TN 38107-1003 2010-08-15
1154635993 Jonna Pfountz Occupational Therapist 1513 N 2nd St, Memphis, TN 38107-1003 2010-08-04
1891009643 Montricia Renese Glenn Occupational Therapist 1513 N 2nd St, Memphis, TN 38107-1003 2010-08-04
Find all providers in zip 38107

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841839313 Tiffany Catrell Williams Technician 5312 Yellowood Road, Memphis, TN 38134 2020-01-02
1871131037 Cassandra Jean Cowans Technician 3106 Harris Ave, Memphis, TN 38114 2019-12-18
1225676489 Sandra Kay Branch Technician 2010 Joe Brooks Dr, Memphis, TN 38134 2019-12-18
1053958736 Randy Johnson Technician 3221 Gina Drive, Memphis, TN 38118 2019-12-02
1851937791 Phyllis Person Technician 292 Modder Ave, Memphis, TN 38109 2019-11-26
1144865700 Johnnie Mary Lawson Technician 5152 Schutt Rd, Memphis, TN 38116 2019-11-07
1760026488 Clara Smith Technician 3192 Walnut Grove Rd, Memphis, TN 38111-3637 2019-11-06
1982246393 A.y Nunley Technician 5614 Crepe Myrtle Drive, Memphis, TN 38115 2019-10-17
1477050557 Brandy Harris Technician 4518 Hickory Branch Dr, Memphis, TN 38141-7607 2018-04-06
1568858025 Carlton Phillips Technician 4692 Tut Cv, Memphis, TN 38128-1487 2015-04-11
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38107

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Dataset Information

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.

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