Coty Darnell Wade, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-097913 Issued in AL

Practice address

195 Hospital Dr
Centreville, AL 35042-2935

Phone

(205) 926-2993

NPI assigned

Oct 26, 2006

Last updated

Aug 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Alabama Family Practice & Sports Medicine PC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1376615476
  Medicare reassignment NPD
• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1144305053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 FOUNDRY CIR",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351112590",
            "telephone_number": "205-938-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 HOSPITAL DR",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422935",
            "telephone_number": "205-926-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "COTY",
        "middle_name": "DARNELL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097913",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "AL",
            "license": "1-097913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Grace Tindell
• Julia Todd, DO
• Suzanne Ventress Tompkins, PA-C
• Trinity Clinical Research, LLC
• Martin Eugene Truett, M.D.
• John Bryan Waits, M.D.
• Stephanie Ward, CRNP
• Ashley Ware, MSN, RN
• Haley Marie Warwick-Jones, DO
• Naomi Hill Washington, MD

• Family Nurse Practitioner in Centreville, AL
• Providers in Centreville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.