Tasha Wade

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

606 Huron Ave
Memphis, TN 38107-1405

Phone

(901) 860-3230

NPI assigned

Jan 30, 2019

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Opulent Transportation LLC

  • Transportation Network Company
  • Cordova, TN
  • NPI 1275104788
  NPD Authorized official

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1164986410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 BAIRD DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197302",
            "telephone_number": "901-860-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 HURON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381071405",
            "telephone_number": "901-860-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICAL TRANSPORTATION",
            "identifier": "833104295",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEMT",
            "identifier": "833104295",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICAL EMERGENCY TRANSPORTATION",
            "identifier": "833104295",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wade, APRN
• Kelly Baker Wade, CRNA
• Keshia Demyra Wade
• Lacy Wade
• Nathan Tucker Wade
• Imelda Wafula, OT
• Allison Waggoner
• Terry L Waggoner, PHARMACIST
• Charcey Wahleithner
• Lila Katherine Wahlquist

• Attendant Care Provider in Memphis, TN
• Providers in Memphis, TN by specialty
• Attendant Care Provider in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.