Active NPI
Laura Wade L Wade
- Registered Dietitian
- Wheeling, WV
National Provider Identifier
1558451013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 391
- Practice address
- 1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003 - Phone
- (304) 243-3124
- Fax
- (304) 243-6343
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 391 | WV | Primary |
Addresses
Primary practice location
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003
Mailing address
47169 Unionvale Rd
Cadiz, OH 43907-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 391 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558451013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47169 UNIONVALE RD",
"city": "CADIZ",
"state": "OH",
"postal_code": "439079483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "WHEELING HOSPITAL INC",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-243-3124",
"fax_number": "304-243-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "LAURA WADE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.