Carol Jutras Wade, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024093730 Issued in VA

Practice address

1975 Glenn Mitchell Dr Ste 300
Virginia Beach, VA 23456-0167

Phone

(757) 507-0170

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDEHDD
• FHIR API: https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1992752521
  Medicare reassignment Care Compare group NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD
• Capital Digestive Care LLC

  • Gastroenterology Physician
  • Chesapeake, VA
  • NPI 1225246812
  NPD
• Capital Digestive Care, LLC

  • Gastroenterology Physician
  • Temple Hills, MD
  • NPI 1437997988
  NPD
• Chesapeake Hospital Authority

  • General Acute Care Hospital
  • Chesapeake, VA
  • NPI 1700896354
  NPD (past)
• Southeast Anesthesiology Consultants of Virginia, PLLC

  • Anesthesiology Physician
  • Norfolk, VA
  • NPI 1033242235
  NPD (past)
• Southeast Pain & Spine Care Specialists, LLC

  • Interventional Pain Medicine Physician
  • Norfolk, VA
  • NPI 1558179689
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1700809258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DOWNING DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228702",
            "telephone_number": "757-482-4519",
            "fax_number": "757-482-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-507-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CAROL",
        "middle_name": "JUTRAS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024093730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J. Vuolo Jr., DPM
• Priyam Kirit Vyas
• Elizabeth Vyvlecka
• David Waddell, M.D.
• Mary Elizabeth Wade Diaz, DO
• Crystal Lynn Wade
• Heather Ann Wade
• Ronda Wade
• Michele Wadsworth, MD
• Tyler Michelle Waggoner

• Certified Registered Nurse Anesthetist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.