TIFFANY RENAE' WADE (NPI# 1225520505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225520505 |
| Entity Type | Individual |
| Full Name | TIFFANY RENAE' WADE |
| Credential | NP-C |
| Practice Address |
12505 Lebanon Rd Frisco TX 75035 |
| Mailing Address |
12505 Lebanon Rd Frisco TX 75035-8298 |
| Practice Telephone | 9729633333 |
| Mailing Telephone | 9729633333 |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135663 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235624081 | Tiffany Elaine Wade | Dentist | 146 S Broadway, Blythe, CA 92225-2502 | 2018-06-25 |
| 1881076511 | Tiffany Lynn Wade | Counselor | 1801 Memorial Cir., Clarksville, TN 37043 | 2015-06-18 |
| 1427660182 | Tiffany Harris Wade | Nurse Practitioner | 5870 Alumni Circle, Mobile, AL 36688-0001 | 2020-08-23 |
| 1033677885 | Tiffany Wilson Wade | Nurse Practitioner | 1851 N Mckenzie St Ste 101, Foley, AL 36535-4703 | 2019-03-11 |
| 1801386016 | Tiffany Nicole Wade | Case Manager/Care Coordinator | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2018-05-14 |
| 1194252957 | Tiffany Wade | Counselor | 7240 Crowder Blvd, Suite 202, New Orleans, LA 70127-1922 | 2017-05-11 |
| 1396095840 | Tiffany Ann Wade | Physical Therapy Assistant | 321 Mitchell Ave, Batesville, IN 47006-8909 | 2012-09-12 |
| 1134347990 | Tiffany Carolene Wade | Counselor | 1601 23rd Ave S, 3rd Floor, Nashville, TN 37212-3133 | 2007-04-24 |
| Street Address |
12505 LEBANON RD |
| City | FRISCO |
| State | TX |
| Zip Code | 75035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881676906 | North Texas Perinatal Associates Pa | Obstetrics & Gynecology | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2005-11-15 |
| 1194117648 | Poppy Drive Inpatient Services Pllc | Internal Medicine | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2015-02-20 |
| 1619387974 | Lori Aaron | Nurse Practitioner | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2014-05-07 |
| 1972744464 | Alakananda Jwala | Physician Assistant | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2009-03-13 |
| 1780800466 | Martha Anne Pavlasek | Physical Therapist | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2007-04-18 |
| 1487731766 | David A Arai | Emergency Medicine | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2006-11-01 |
| 1629155916 | Thomas R Janecek | Emergency Medicine | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2006-11-01 |
| 1336159573 | Yong Chan Lee | Emergency Medicine | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2006-08-09 |
| 1992725204 | William Kent Bono | Physician Assistant | 12505 Lebanon Rd, Frisco, TX 75035-8298 | 2006-07-20 |
| 1801826839 | Baylor Scott & White Medical Center - Centennial | General Acute Care Hospital | 12505 Lebanon Rd, Frisco, TX 75035 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938379 | Passionate Helpers | Home Health | 15922 Eldorado Parkway #500 #561, Frisco, TX 75035 | 2020-10-01 |
| 1740801331 | Jasmine Mathew | Recreation Therapist | 15820 Christopher Lane, Frisco, TX 75035 | 2020-05-05 |
| 1609416288 | James D Browning IIi | Dentist | 14660 Sh 121 Building 300, Frisco, TX 75035 | 2020-01-10 |
| 1376004655 | Prime Choice Urgent Care Pllc | Clinic/Center | 12828 Eldorado Parkway, Frisco, TX 75035 | 2019-03-28 |
| 1922576396 | Bradley Buchwald Dmd | Dentist | 6549 Coit Rd, Ste 124, Frisco, TX 75035 | 2018-11-05 |
| 1780165084 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Bldg A, Suite 130, Frisco, TX 75035 | 2018-08-24 |
| 1659851061 | B and B Optical Management, LLC | Optometrist | 16100 Sh 121, Frisco, TX 75035 | 2018-08-15 |
| 1174018568 | Thrive Dental and Orthodontics Pllc | Dentist | 10935 Rolater Rd, #210, Frisco, TX 75035 | 2018-06-27 |
| 1558856054 | Stephanie Scales Gregory | Registered Nurse | 7525 Hickory Street, #205, Frisco, TX 75035 | 2018-06-27 |
| 1073018131 | Frisco Total Wellness Clinic, Pllc | Family Medicine | 14550 Highway 121, Suite 130, Frisco, TX 75035 | 2018-03-29 |
| Find all providers in zip 75035 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980363 | Carla Larue Mosby | Nurse Practitioner | 10150 Bowling Green Dr, Frisco, TX 75035-6984 | 2020-10-23 |
| 1932707783 | Gabrielle Black | Nurse Practitioner | 4664 Driftwood Dr, Frisco, TX 75034-5132 | 2020-10-14 |
| 1699386888 | Biraj B Shah | Nurse Practitioner | 14611 Snowshill Dr, Frisco, TX 75035-7233 | 2020-08-12 |
| 1023637303 | Sandra Igbinehi Abusomwan | Nurse Practitioner | 12436 Daisy Ln, Frisco, TX 75035-0716 | 2020-04-16 |
| 1679106272 | Laarni Catudan Mendoza | Nurse Practitioner | 7829 Marine Blue Dr, Frisco, TX 75035-3107 | 2020-02-21 |
| 1457984890 | Bhavishaben Patel | Nurse Practitioner | 2811 Internet Blvd, Frisco, TX 75034-2029 | 2020-02-13 |
| 1336795087 | Waymaker Health Services LLC | Nurse Practitioner | 2831 Eldorado Pkwy # 103-322, Frisco, TX 75033-7438 | 2019-08-16 |
| 1285286492 | Blen Daniel | Nurse Practitioner | 11676 Chaucer Dr, Frisco, TX 75035-8637 | 2019-07-09 |
| 1669038287 | Meagan Marie Woods | Nurse Practitioner | 5355 Dallas Pkwy Ste 620, Frisco, TX 75034-7973 | 2019-05-20 |
| 1033682844 | Christine Mayer | Nurse Practitioner | 12828 Eldorado Pkwy, Frisco, TX 75035-5883 | 2019-01-03 |
| Find all providers in FRISCO | ||||
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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.