Individual provider Active NPI

Ka'Dea Wade-George, FNP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1396413274
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219392 Issued in LA
Practice address
1715 Common St
Lake Charles, LA 70601-6135
Phone
(337) 439-5861
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219392 LA Primary

Addresses

Primary practice location

1715 Common St
Lake Charles, LA 70601-6135

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 439-9983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012001155 LA Practitioner - Nurse Practitioner 7012315658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1715 Common St
Lake Charles, LA 70601-6135
Phone (337) 439-5861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care LLC CurrentSince Jan 20, 2023 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jan 20, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Mar 20, 2023 Accepting new patients
Southwest Louisiana AIDS Council CurrentSince Nov 1, 2025 Accepting new patients
Southwest Louisiana AIDS Council Current Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Mar 20, 2023 Accepting new patients

Locations

6770 Johnston St
#B
Lafayette, LA 70503
Phone (337) 326-5702

1715 Common St
Lake Charles, LA 70601
Phone (337) 439-1386

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

Organizations & group practices 6

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1396413274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016135",
            "telephone_number": "337-439-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-GEORGE",
        "first_name": "KA'DEA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "219392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.