Organization Active NPI

David T Ade

  • Family Nurse Practitioner
  • Moline, IL
National Provider Identifier
1316124159
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DAVID T ADE
Practice address
550 30TH Ave Ste 12
Moline, IL 61265-5975
Phone
(309) 762-5513
Fax
(309) 762-5519
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Rebecca Kay Fuller
Title
Medical Assistant
Phone
(309) 762-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X IL Primary

Addresses

Primary practice location

550 30TH Ave Ste 12
Moline, IL 61265-5975

Mailing address

550 30TH Ave Ste 12
Moline, IL 61265-5975
Phone (309) 762-5513

National Provider Directory

National Provider Directory

Locations

550 30th Ave
Ste 12
Moline, IL 61265
Phone (309) 736-5568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1316124159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 30TH AVE STE 12",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655975",
            "telephone_number": "309-762-5513",
            "fax_number": "309-762-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 30TH AVE STE 12",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655975",
            "telephone_number": "309-762-5513",
            "fax_number": "309-762-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T ADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "309-762-5515"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.