Brenda Shelley Wade, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R60557 Issued in NM

Practice address

1900 N White Sands Blvd
Alamogordo, NM 88310-6246

Phone

(575) 439-4489

Fax

(575) 439-4494

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• New Mexico School for the Blind and Visually Impaired

  • Local Education Agency (LEA)
  • Alamogordo, NM
  • NPI 1326120486
  NPD (past)
• New Mexico School for the Blind and Visually Impaired Early Childhood

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1053460683
  NPD (past)

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1457772360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N WHITE SANDS BLVD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106246",
            "telephone_number": "575-439-4489",
            "fax_number": "575-439-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N WHITE SANDS BLVD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106246",
            "telephone_number": "575-439-4489",
            "fax_number": "575-439-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "BRENDA",
        "middle_name": "SHELLEY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R60557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Viscarra
• Paige G Viscarra, LBSW
• Vista del Sol Internal Medicine, PA
• Melody Vosburg
• W J Kafka MD Anesthesiology LLC
• Christopher George Waggoner, CNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Joseph Benjamin Walcher II, M.D.

• Registered Nurse in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.