Jessica Wade, MSE

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

221 Lindley LN
Newport, AR 72112-4954

Phone

(870) 523-2124

NPI assigned

May 17, 2023

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

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1508557943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 BLACKLAND RD",
            "city": "OIL TROUGH",
            "state": "AR",
            "postal_code": "725649750",
            "telephone_number": "870-799-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LINDLEY LN",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721124954",
            "telephone_number": "870-523-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JESSICA",
        "credential": "MSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Arkansas for Medical Sciences
• USA Drug & Beauty Market Franchising Systems, Inc.
• Jennifer Ussery, RECOVERY ASSISTANT
• Troy Larry Vincent Sr., LAC
• Wade Falwell, M.D.,P.a.
• Walgreen Co
• Gloria Walker, MHPP
• Walmart Inc.
• Clara Walton
• Lori Ward, PHARM D

• All providers in Newport, AR
• Developmental Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.