Ruth Wanda Wade

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017652 Issued in NC

Practice address

5939 Reddman Rd
Charlotte, NC 28212-1654

Phone

(704) 703-6060

NPI assigned

Dec 21, 2022

Last updated

Oct 7, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

SNF Physiatry Services NC PLLCGroup PAC ID 1759805625, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ruth.stuart.2@29601.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SNF Physiatry Services NC PLLC

  dba American Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Durham, NC
  • NPI 1962230177
  Medicare reassignment Care Compare group NPD
• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care-University City

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366181943
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Centerwell Senior Primary Care (NC) JV, P.C.

  dba CenterWell Senior Primary Care (NC) JV, P.C. - Sheffield Park

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1477373991
  NPD
• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care-Montclaire

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1942074950
  NPD
• Centerwell Senior Primary Care NC JV PC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1346954997
  NPD (past)

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1487366472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 JACQUELYNE DR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799402",
            "telephone_number": "980-455-7562",
            "fax_number": "980-283-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 REDDMAN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282121654",
            "telephone_number": "704-703-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4715 Jacquelyne Dr",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280799402",
            "country_code": "US",
            "telephone_number": "980-455-7562",
            "fax_number": "980-283-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "RUTH",
        "middle_name": "WANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017652",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Nichole Wade
• Avita Wade
• Jevetta R Wade
• Kimberly Ann Wade
• Ronald V Wade, MD
• Sara D Wade, LCSWA
• Tammie Denise Wade, LPC, CRC
• Supneet Singh Wadhwa, DDS
• William Justin Wadsworth, MA, LPC-A, NCC
• Emmala Ryan Waduge, FNP

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.