LISA MARIE WADE (NPI# 1710379201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710379201 |
| Entity Type | Individual |
| Full Name | LISA MARIE WADE |
| Practice Address |
805 N Kentucky Ave West Plains MO 65775-2022 |
| Mailing Address |
2811 Ginger Dr West Plains MO 65775-1571 |
| Practice Telephone | 4172562111 |
| Mailing Telephone | 4172932210 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2007023584 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | AANP CERTIFICATION | F0215049 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831621010 | Lisa Wade | Occupational Therapist | 530 Creek Landing Ln, Alpharetta, GA 30005-7813 | 2017-03-28 |
| 1457662751 | Lisa Combs Wade | Counselor | 102 Medical Center Dr Ste 101, Hazard, KY 41701-9421 | 2010-07-01 |
| 1124265186 | Lisa Wade | Behavioral Analyst | 136 Rotunda Dr, Jupiter, FL 33477-7304 | 2009-01-13 |
| 1154489516 | Lisa Gay Wade | Specialist | 557 Glover Ave Ste 5, Enterprise, AL 36330-2070 | 2006-12-05 |
| 1215376330 | Lisa Wade | Family Medicine | 2970 Pierce Rd, Suite 2, Saginaw, MI 48604-8810 | 2013-06-21 |
| 1346541661 | Lisa Wade | Speech-Language Pathologist | 650 N Jefferson St, Roanoke, VA 24016-1427 | 2010-11-03 |
| 1396983144 | Lisa D Wade | Speech-Language Pathologist | 368 W Pike St, Suite 204, Lawrenceville, GA 30045-3240 | 2009-02-02 |
| Street Address |
805 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043413 | Missouri Cvs Pharmacy, L.l.c | Pharmacist | 805 N Kentucky Ave, Suite 2, West Plains, MO 65775-2045 | 2005-09-15 |
| 1003330713 | Burton Creek Rural Clinic, LLC | Family Medicine | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2017-08-03 |
| 1992133979 | Lynn Crites | Nurse Practitioner | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2013-10-29 |
| 1124456207 | Patricia Chapin | Pharmacist | 805 N Kentucky Ave, Suite 2, West Plains, MO 65775-2022 | 2013-10-28 |
| 1740553288 | Brett Elizabeth Young | Social Worker | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2012-02-14 |
| 1609167402 | Charles Nathaniel Swift | Internal Medicine | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2011-04-27 |
| 1003140963 | Leslie Erin Barr | Family Medicine | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2009-09-25 |
| 1346300969 | Curtis L Horstman | Family Medicine | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2006-12-12 |
| 1275628349 | Aaron Lee Mills | Family Medicine | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2006-10-04 |
| 1366413262 | Kelly Lynn Mills | Physician Assistant | 805 N Kentucky Ave, West Plains, MO 65775-2022 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650855 | Celeste Hope Williams | Nurse Practitioner | 1709 Gibson Street, West Plains, MO 65775-4221 | 2005-12-20 |
| 1003803370 | Larry Ray Kennon | Nurse Practitioner | 1137 Independence Dr, West Plains, MO 65775-4221 | 2005-10-03 |
| 1518961267 | Christine Helen Adcock | Nurse Practitioner | 805 Kentucky Ave, West Plains, MO 65775 | 2005-06-10 |
| 1306476510 | Brittany A Barbee | Nurse Practitioner | 1115 Alaska St Ste 215, West Plains, MO 65775-2014 | 2020-01-16 |
| 1417511551 | Meagan Elise Jones | Nurse Practitioner | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2019-04-24 |
| 1053807701 | Kristen Rene' White | Nurse Practitioner | 1137 Independence Dr, West Plains, MO 65775-4221 | 2018-07-05 |
| 1114421476 | Sheila Jo Marler | Nurse Practitioner | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2018-03-21 |
| 1417469693 | Julie Diane Gunter | Nurse Practitioner | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2017-10-28 |
| 1417492539 | Lynsey Renee Sullivan | Nurse Practitioner | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2016-12-28 |
| 1841746195 | Dj Gross | Nurse Practitioner | 1115 Alaska St, Suite 215, West Plains, MO 65775-2061 | 2016-08-28 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on LISA MARIE 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.