MISS CAROL ANN WADE (NPI# 1295767416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295767416 |
Entity Type | Individual |
Full Name | MISS CAROL ANN WADE |
Credential | NURSE PRACTITIONER |
Practice Address |
Rosebud Ihs Hospital Soldier Creek Road Rosebud SD 57570-0400 |
Mailing Address |
Po Box 400 Rosebud SD 57570-0400 |
Practice Telephone | 6057472231 |
Mailing Telephone | 6057472231 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R021834 | SD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700809258 | Carol Jutras Wade | Nurse Anesthetist, Certified Registered | 1975 Glenn Mitchell Dr Ste 300, Virginia Beach, VA 23456-0167 | 2006-07-25 |
1427085596 | Carol A Wade | Nurse Practitioner | 21 E Maple St, Suite A, Hailey, ID 83333-4900 | 2006-06-26 |
1639118011 | Carol R Wade | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-06-04 |
Street Address |
ROSEBUD IHS HOSPITAL SOLDIER CREEK ROAD |
City | ROSEBUD |
State | SD |
Zip Code | 57570-0400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
1184141400 | Guardian Flight LLC | Ambulance | 1506 Airport Road, Rosebud, SD 57570 | 2017-08-28 |
1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
1063602365 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Private Vehicle | #7 Hospital Lane, Rosebud, SD 57570 | 2007-08-01 |
1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
Find all providers in zip 57570 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
1871827626 | Bryan Matthew Wermers | Nurse Practitioner | 1600 W 22nd Street, Sioux Falls, SD 57117-5039 | 2009-09-28 |
1336238195 | Theresa Marten | Nurse Practitioner | 640 Flormann Street, Suite 100, Rapid City, SD 57701 | 2006-10-12 |
1033762984 | Theresa Miiller | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2019-07-19 |
1588027536 | Wendy Lynn Asher | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2016-03-29 |
1154792539 | Althea Groen Hooyer | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2015-10-12 |
1477716736 | Teresa M Cass | Nurse Practitioner | 100 Mac Ln, Avera Medical Group Pierre, Pierre, SD 57501 | 2008-07-08 |
1215199500 | Bobby Goeman | Nurse Practitioner | 3015 3rd Ave Se Ste 104, Aberdeen, SD 57401-5539 | 2008-06-27 |
1497844336 | Joanie Holm | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2497 | 2006-10-11 |
1376572693 | Jean Marie Hohm | Nurse Practitioner | 211 Founders Park Dr, Suite 3, Rapid City, SD 57701-8098 | 2006-06-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MISS CAROL ANN WADE.
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.