Kelly Rae Wade, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000489 Issued in WA

Practice address

1800 Westlake Ave N Ste 203
Seattle, WA 98109-2782

Phone

(206) 394-1167

NPI assigned

Mar 23, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194842237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092782",
            "telephone_number": "206-394-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N STE 203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092782",
            "telephone_number": "206-394-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Waddingham, OTR/L
• Cara Eileen Wade, FNP
• Cherise Diane Wade
• Heidi J Wade, CCC-SLP
• Jennifer Behrens Wade, LMHC, M.A.
• Paul Jonathan Wade, PA-C
• Robert Wade, LMP
• Sara Frances Wade, PA-C
• Roini M. Wadhwani, ARNP
• Stacey Wadkins

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.