Active NPI
Lasonya L Wade
- Licensed Practical Nurse
- West Palm Beach, FL
National Provider Identifier
1194384420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5232003
- Practice address
- 2800 Georgia Ave Apt D21
West Palm Beach, FL 33405-1467 - Phone
- (305) 850-0788
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5232003 | FL | Primary |
Addresses
Primary practice location
2800 Georgia Ave Apt D21
West Palm Beach, FL 33405-1467
Mailing address
2800 Georgia Ave Apt D21
West Palm Beach, FL 33405-1467
Phone (305) 850-0788
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | applecrestwood@hotmail.com | ||
| Direct Messaging Address | applecrestwood@hotmail.com |
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 |
|---|---|---|---|
| PN5232003 | FL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barfield Health LLC | Current | Accepting new patients | |
| Deltastar Healthcare Services | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Denver, CO
- NPI 1639925126
-
- Home Health Agency
- Albuquerque, NM
- NPI 1013756261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1194384420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 GEORGIA AVE APT D21",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334051467",
"telephone_number": "305-850-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 GEORGIA AVE APT D21",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334051467",
"telephone_number": "305-850-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "LASONYA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5232003",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "applecrestwood@hotmail.com",
"affiliation": "N",
"address_1": "2800 Georgia Ave Apt D21",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334051467",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "applecrestwood@hotmail.com",
"affiliation": "N",
"address_1": "2800 Georgia Ave Apt D21",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334051467",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.