MS. MARY LYNETTE WADE (NPI# 1710953195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710953195 |
| Entity Type | Individual |
| Full Name | MS. MARY LYNETTE WADE |
| Credential | RN, CFNP |
| Practice Address |
1025 Marion Hwy Farmerville LA 71241-9314 |
| Mailing Address |
121 Percy Rd Farmerville LA 71241-8161 |
| Practice Telephone | 3183689745 |
| Practice Fax Number | 3183680072 |
| Mailing Telephone | 3183683560 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2009-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN035495 3693 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | 110484125B | 01 |
| LA | 1433179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231380 | Mary Wade | Home Health Aide | 175 Edgevale St, Detroit, MI 48203-5241 | 2015-12-22 |
| 1134422553 | Mary Iva Wade | Licensed Practical Nurse | 7 East Cove Ave, Wheeling, WV 26003 | 2010-12-07 |
| 1457673766 | Mary Beth Wade | Licensed Practical Nurse | 5672 Lynx Dr, Westerville, OH 43081-5203 | 2010-02-28 |
| 1902077415 | Mary Celeste Wade | Radiologic Technologist | 1029 Travelers Trl Nw, Kennesaw, GA 30144-2870 | 2008-03-12 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1740689769 | Mary Wade | Non-emergency Medical Transport (VAN) | 329 W Franklin St, Goliad, TX 77963-4172 | 2014-08-14 |
| 1932520178 | Mary Wade | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2013-12-13 |
| 1740617380 | Mary Kim Wade | Pharmacist | 13150 Central Ave Se, Albuquerque, NM 87123-3032 | 2013-09-27 |
| 1699071738 | Mary K Wade | Occupational Therapist | 1 Alden Ave, Augusta, ME 04330-6185 | 2011-02-08 |
| 1609072024 | Mary L Wade | Registered Nurse | 3155 Royal Drive, Suite 125 North Fulton Regional Health Center, Alpharetta, GA 30022 | 2007-06-22 |
| Street Address |
1025 MARION HWY |
| City | FARMERVILLE |
| State | LA |
| Zip Code | 71241-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848623 | Lisa Allison-graves Post | Nutritionist | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2005-11-15 |
| 1932767746 | Kelly Leanne Young | Nurse Practitioner | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2019-06-05 |
| 1124542519 | Kelly B Dodd | Nurse Practitioner | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2017-07-28 |
| 1417385188 | Vanessa Brass | Nurse Practitioner | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2013-10-16 |
| 1912973090 | Union General Hospital | Clinic/Center | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194369439 | Hulin Urgent Care Services, LLC | Clinic/Center | 965 Sterlington Hwy, Farmerville, LA 71241 | 2019-10-30 |
| 1558828863 | Union Counseling Center, LLC | Counselor | 105 S Washington St., Farmerville, LA 71241 | 2019-02-22 |
| 1235622002 | Insight Medical Solutions Inc | Clinic/Center | 206 Boots Road, Farmerville, LA 71241 | 2018-06-07 |
| 1326599226 | Jerome Hill | Counselor | 518 James Ave, Farmerville, LA 71241 | 2016-10-17 |
| 1497205520 | Angela Patterson | Case Manager/Care Coordinator | 311 Rocky Brannch Rd, Farmerville, LA 71241 | 2016-10-13 |
| 1770039950 | Northeast Louisiana Rehabilitation | Clinic/Center | 204 Boots Drive, Farmerville, LA 71241 | 2016-08-29 |
| 1063826436 | Mini Miracles Pediatric Day Health Center, LLC | Health Maintenance Organization | 120 Eagle Point Dr, Farmerville, LA 71241 | 2014-06-13 |
| 1134302276 | Steven W. Venters, M.d., L.L.C. | Clinic/Center | 811 James Ave., Suite B, Farmerville, LA 71241 | 2007-12-12 |
| 1093905762 | Premier Hospice of Mangham, LLC | Hospice Care, Community Based | 104-2 West Bayou, Farmerville, LA 71241 | 2007-07-30 |
| 1366562746 | Union Parish School Board | Local Education Agency (LEA) | 1206 Marion Hwy, Farmerville, LA 71241 | 2007-03-30 |
| Find all providers in zip 71241 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980977 | Jennifer Prichard | Nurse Practitioner | 1126 Marion Hwy, Farmerville, LA 71241-9305 | 2019-06-06 |
| 1932767746 | Kelly Leanne Young | Nurse Practitioner | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2019-06-05 |
| 1124542519 | Kelly B Dodd | Nurse Practitioner | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2017-07-28 |
| 1417385188 | Vanessa Brass | Nurse Practitioner | 1025 Marion Hwy, Farmerville, LA 71241-9314 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | FARMERVILLE |
| Zip Code | 71241 |
Please comment or provide details below to improve the information on MS. MARY LYNETTE 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.