Tammy Wade, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1004141 Issued in DC

Practice address

2112 F St NW Ste 102
Washington, DC 20037-2722

Phone

(202) 296-4455

Fax

(202) 822-9130

NPI assigned

Mar 23, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Baymark Health Services of West Virginia, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington, DC
  • NPI 1629685045
  NPD
• The Foundation for Contemporary Mental Health

  • Public Health or Welfare Agency
  • Washington, DC
  • NPI 1316148554
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1306422019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 LANDOVER RD APT 303",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851337",
            "telephone_number": "240-667-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372722",
            "telephone_number": "202-296-4455",
            "fax_number": "202-822-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TAMMY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP43468",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1004141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyzayah Wade
• Raymond Kenneth Wade
• Reginald Wade
• Rhonda K Wade
• Russell Louis Wade, MSW
• Tanyah Maria Wade
• Temecia Lawane Wade
• Tousha Wade
• William Shelton Wade
• Xavier Wade

• All providers in Washington, DC
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.