Jason Daniel Wade, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

281829 Issued in TN

Practice address

200 Central Ave
Chattanooga, TN 37403-1506

Phone

(423) 778-7000

NPI assigned

Jan 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1174333579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 DISTRICT LN APT 316",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061885",
            "telephone_number": "760-885-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031506",
            "telephone_number": "423-778-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "281829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy B. Waddell, P.A.-C.
• Casey M. Waddle, NP
• Wade in the Water Medicine LLC
• Cynthia Wade
• Holly Elizabeth Wade, LCSW
• Katie Danielle Wade, MSN, APRN, PMHNP-BC
• Robin E. Wade
• Shaun Michael Wade
• Sydney Caroline Wade
• William R. Wadley

• Registered Nurse in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.