GEORGIA ANN WADE (NPI# 1548479918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548479918 |
Entity Type | Individual |
Full Name | GEORGIA ANN WADE |
Credential | RN. IBCLC |
Practice Address |
100 N 67th St Broken Arrow OK 74014-6945 |
Practice Telephone | 9183571404 |
Mailing Telephone | 9183571404 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
R0033022 | OK | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | RN. LACTATION CONSULTANT | 163WL0100X | 01 |
OK | REGISTERED NURSE | R0033022 | 01 |
Street Address |
100 N 67TH ST |
City | BROKEN ARROW |
State | OK |
Zip Code | 74014-6945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
Find all providers in zip 74014 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942764634 | Rhonda S Sullivan | Registered Nurse | 1902 S Nyssa Pl, Broken Arrow, OK 74012-9093 | 2019-01-26 |
1902373327 | Green Country Lactation LLC | Registered Nurse | 809 W Juneau St, Broken Arrow, OK 74012-0765 | 2018-10-24 |
1528501160 | Melissa Taylor | Registered Nurse | 1601 W Utica St, Broken Arrow, OK 74011-1600 | 2016-11-30 |
1639574668 | Ryan Pickle | Registered Nurse | 19421 E 49th St S, Broken Arrow, OK 74014-1495 | 2014-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306456645 | Shantel Harlin | Registered Nurse | 6208 N Vermont Ave, Oklahoma City, OK 73112-1312 | 2020-08-02 |
1609425339 | Lindsey B Mcreynolds | Registered Nurse | 1403 Oakridge Rd, Ardmore, OK 73401-3611 | 2019-09-05 |
1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
1972088375 | Amber Michelle Richards | Registered Nurse | 3722 Plantation Dr, Enid, OK 73703-1449 | 2018-10-01 |
1437639564 | Kyla Pfannenstiel | Registered Nurse | 11426 S Nandina Ave, Jenks, OK 74037-2168 | 2018-08-17 |
1447738604 | Michelle Walton | Registered Nurse | 3330 Nw Expressway, Oklahoma City, OK 73112-4418 | 2018-07-31 |
1356866131 | Rachel Celeste Weaver | Registered Nurse | 712 W Lakeshore Dr, Stillwater, OK 74075-1335 | 2017-08-14 |
1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
1336537646 | Tracy Dejesus | Registered Nurse | 1616 Brown Oaks Dr, Oklahoma City, OK 73127-3132 | 2015-01-08 |
1043629405 | Rebecca Decker | Registered Nurse | 9897 S Brandley Rd, El Reno, OK 73036-9707 | 2014-08-10 |
Find all providers with the same taxonomy |
City | BROKEN ARROW |
Zip Code | 74014 |
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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.