Amanda Marie Wade, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

251036 Issued in WI

Practice address

1706 El Segundo Ave
Weston, WI 54476-3829

Phone

(715) 551-5293

NPI assigned

Jul 15, 2022

Last updated

Jul 15, 2022By the provider in NPPES

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

Other names 1

• Amanda Marie Inda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1447984372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EL SEGUNDO AVE",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544763829",
            "telephone_number": "715-551-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EL SEGUNDO AVE",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544763829",
            "telephone_number": "715-551-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "251036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "INDA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blake Varghese
• Cynthia Verfuerth, NP
• Erin E. Verkerke, CRNA
• Village of Weston (Village of Weston Fire Department)
• Alison Vlietstra
• Lisa Walder, NP
• Walgreen Co (Walgreens #09609)
• Yating Wang, M.D.
• Heidi K Warmbold, NP
• Ben Paul Wasleske

• Home Health Registered Nurse in Weston, WI
• Providers in Weston, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.