Individual provider Active NPI

Linda Marie Wade, FNP

  • Family Nurse Practitioner
  • Madison, TN
National Provider Identifier
1760676456
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
06470 Issued in TN
Practice address
601 W Due West Ave
Madison, TN 37115-4423
Phone
(615) 227-3000
NPI assigned
Sep 5, 2007
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 06470 TN Primary

Addresses

Primary practice location

601 W Due West Ave
Madison, TN 37115-4423

Mailing address

2711 Foster Ave
Nashville, TN 37210-5307
Phone (615) 227-3000

Other practice location 1

1811 State Street
Nashville, TN 37203
Phone (615) 329-4357

Other identifiers 2

IdentifierTypeStateIssuer
10077506OtherTNAMERIGROUP
621688899OtherTNAMERICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000941 TN Practitioner - Nurse Practitioner 6204028525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3904 Gallatin Pike
Nashville, TN 37216-2406
Phone (615) 227-3000

601 W Due W Ave
Madison, TN 37115-4423
Phone (615) 227-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6470TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Neighborhood Health Services, Inc Current Accepting new patients
Primary Care and Pain Relief Center Dba Nashvillehealth Services, Inc. Past Accepting new patients

Locations

2711 Foster Ave
Nashville, TN 37210
Phone (615) 620-8647

617 S 8th St
Nashville, TN 37206
Phone (615) 226-1695

Interoperability endpoints

  • Direct secure messaging: linda.wade.p1@direct.neighborhoodhealthtn.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1760676456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-227-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154423",
            "telephone_number": "615-227-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 State Street",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37203",
            "country_code": "US",
            "telephone_number": "615-329-4357",
            "fax_number": "615-342-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "06470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10077506",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "621688899",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.