GEORGIA ANN WADE


Address: 100 N 67th St, Broken Arrow, OK 74014-6945
Phone: 9183571404

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
R0033022 OK Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK RN. LACTATION CONSULTANT 163WL0100X 01
OK REGISTERED NURSE R0033022 01

Office Location

Street Address 100 N 67TH ST
City BROKEN ARROW
State OK
Zip Code 74014-6945

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BROKEN ARROW
Zip Code 74014

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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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