THERESA WADE, APRN LLC (NPI# 1861850570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861850570 |
| Entity Type | Organization |
| Organization Name | THERESA WADE, APRN LLC |
| Practice Address |
79-7446 Mamalahoa Hwy Kealakekua HI 96750-7913 |
| Mailing Address |
83-5737 Kanele St Captain Cook HI 96704-8329 |
| Practice Telephone | 8083930677 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | MS. THERESA WADE (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8083335977 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN-1950 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
79-7446 MAMALAHOA HWY |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750-7913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427573534 | Ann Elizabeth Salgado | Behavioral Analyst | 79-7446 Mamalahoa Hwy, Kealakekua, HI 96750-7913 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538556642 | Tiffany Ann Healy | Nurse Practitioner | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777632 | Louella Van Osdol | Nurse Practitioner | 286 Hamakua Dr, Kailua, HI 96734-3917 | 2019-12-16 |
| 1659862910 | Katelyn Jones | Nurse Practitioner | 615 Piikoi St Ste 1603, Honolulu, HI 96814-3142 | 2018-05-22 |
| 1609382340 | Wellness Partners Hawaii Inc | Nurse Practitioner | 377 Keahole St # 211-c, Honolulu, HI 96825-3405 | 2017-12-18 |
| 1942726708 | Sharilyn Butteling | Nurse Practitioner | 270 Hookahi St Ste 207, Wailuku, HI 96793-1466 | 2017-08-14 |
| 1821512245 | Jennifer Jo Witt | Nurse Practitioner | 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 | 2017-07-27 |
| 1982000766 | Carrie R Baker | Nurse Practitioner | 727 Wainee St Ste 201, Lahaina, HI 96761-1589 | 2014-11-06 |
| 1821406943 | Greywolf Psychiatry Services, Inc | Nurse Practitioner | 91-1019 Kamaaha Ave, 1004, Kapolei, HI 96707-2996 | 2014-08-01 |
| 1114178688 | Diane Meloche Justusson | Nurse Practitioner | 87-1048 Huamoa St, Waianae, HI 96792-3435 | 2008-10-02 |
| 1922208685 | Rebecca Lee Ross | Nurse Practitioner | 615 Piikoi St Ste 2002, Honolulu, HI 96814-3142 | 2007-07-20 |
| 1801962337 | Nidhi Anna Chabora | Nurse Practitioner | 45-3380 Mamane St, Suite #4, Honokaa, HI 96727-6933 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
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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.