Veronica Lynn Wade

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2817 Rock Merritt Ave
Fort Liberty, NC 28310-1941

Phone

(910) 907-6000

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1407329683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 S BAYVIEW AVE",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "087521941",
            "telephone_number": "908-217-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283101941",
            "telephone_number": "910-907-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 S Bayview Ave",
            "address_purpose": "LOCATION",
            "city": "Seaside Park",
            "state": "NJ",
            "postal_code": "087521941",
            "country_code": "US",
            "telephone_number": "908-217-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "VERONICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Vanarendonk, RN
• Christopher Velligan, MD
• Danielle Nhat Uyen Vo, RPH
• Sarah M Voytko, PHARM.D
• Cuong Tuan Vuong, PHARM.D., B.S.
• Christopher Phillip Wagner, D.O.
• Merritt Elise Ware, MD
• Samantha Warner
• Jennifer Cobb Warnock, PTA
• Kerry Anne Brennan Wathen, JD LCSW

• Athletic Trainer in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.