Shannon Teanna Wade, IP

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

2420946 Issued in OH

Practice address

336 Grace Ave
Akron, OH 44320-2151

Phone

(330) 620-8077

NPI assigned

May 14, 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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1366657983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 GRACE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202151",
            "telephone_number": "330-620-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GRACE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202151",
            "telephone_number": "330-620-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SHANNON",
        "middle_name": "TEANNA",
        "name_prefix": "Mrs.",
        "credential": "IP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "OH",
            "license": "2420946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wade
• Katharine A. Wade, M.D.
• Kenyatta Wade, LPN
• Lacey Amber Wade, OCPS
• Marquita E Wade
• Erica Wadley-Roberts
• Grace Ann Wadud, AA, BA
• Shawn M Waers
• Alycia Wagner
• Amy Lee Wagner

• Clinical Nurse Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.