Active NPI
Jennifer Cheng Wade, ND, EAMP
- Naturopath
- Christiansted, VI
National Provider Identifier
1417568486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- 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.
-
- Naturopath
- Christiansted, VI
- NPI 1538990544
-
- Chiropractor
- Christiansted, VI
- NPI 1790363455
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC61083743 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Cheng Wade ND Aemp PLLC | Naturopath | Current | Accepting new patients |
| VI Practice Management Consulting Services LLC | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC61083743 | WA | |
| Naturopath | 175F00000X | WA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.