Stephanie Wade, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

705820 Issued in TX

Practice address

3330 Matlock Rd
Ste 207
Arlington, TX 76015-2917

Phone

(817) 470-3566

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By the provider in NPPES

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Selective Medical Staffing of Texas LLC

  • Case Management Agency
  • Arlington, TX
  • NPI 1306251541
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1508257510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MATLOCK RD",
            "address_2": "STE 207",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152917",
            "telephone_number": "817-470-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MATLOCK RD",
            "address_2": "STE 207",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152917",
            "telephone_number": "817-470-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "705820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerie Vuong, DPT, PT
• Nhu-Mai Vuu
• W. Noubani, PA Medical PLLC
• Irene Wabomnor, DC
• Kirsten Angelique Wade, PNP
• Jordan Waffird, DPT, PT
• James Wagers II
• Jaydee Ann Wagner
• Lauren A Wagner, LCSW
• Miracle Wagner, LPC

• Case Management Registered Nurse in Arlington, TX
• Providers in Arlington, TX by specialty
• Case Management Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.