Individual provider Active NPI

Lasonya L Wade

  • Licensed Practical Nurse
  • West Palm Beach, FL
National Provider Identifier
1194384420
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5232003 Issued in FL
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

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PN5232003FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.