Active NPI
Marsha Wade, BC-HIS
- Hearing Instrument Specialist
- Creve Coeur, MO
National Provider Identifier
1093145013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 913
- Practice address
- 12352 Olive Blvd
Creve Coeur, MO 63141-6443 - Phone
- (314) 514-7800
- Fax
- (314) 514-7802
- NPI assigned
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 913 | MO | Primary |
Addresses
Primary practice location
12352 Olive Blvd
Creve Coeur, MO 63141-6443
Mailing address
12352 Olive Blvd
Creve Coeur, MO 63141-6443
Phone (314) 514-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 913 | MO | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1093145013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12352 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416443",
"telephone_number": "314-514-7800",
"fax_number": "314-514-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12352 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416443",
"telephone_number": "314-514-7800",
"fax_number": "314-514-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "MARSHA",
"name_prefix": "Ms.",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.