Individual provider Active NPI

Jennifer Cheng Wade, ND, EAMP

  • Naturopath
  • Christiansted, VI
National Provider Identifier
1417568486
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Practice address
4100 Estate Sion Farm Ste 16 and 17
Christiansted, VI 00820
Phone
(408) 621-5787
NPI assigned
Aug 13, 2020
Reactivated
Oct 3, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC61083743WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Cheng Wade ND Aemp PLLC Naturopath CurrentSince Aug 18, 2024 Accepting new patients
VI Practice Management Consulting Services LLC PastSince Oct 16, 2022 Accepting new patients

Locations

4100 Sion Farm Shopp Ctr
Ste 16
Christiansted, VI 00820
Phone (340) 713-2225

7001 Seaview Ave NW
Ste 160
Seattle, WA 98117

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC61083743 WA
Naturopath 175F00000X WA Primary

Addresses

NPPES NPI Registry

Primary practice location

4100 Estate Sion Farm Ste 16 and 17
Christiansted, VI 00820

Mailing address

7001 Seaview Ave NW Ste 160
PMB 563
Seattle, WA 98117-6021
Phone (408) 621-5787

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2022.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1417568486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SEAVIEW AVE NW STE 160",
            "address_2": "PMB 563",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981176021",
            "telephone_number": "408-621-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 ESTATE SION FARM STE 16 AND 17",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "408-621-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JENNIFER",
        "middle_name": "CHENG",
        "name_prefix": "Dr.",
        "credential": "ND, EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-06",
        "deactivation_date": "2020-08-17",
        "reactivation_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61083743",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.