Active NPI
Rachael Reddy Wade, DRPH, MS, RD, LD
- Registered Dietitian
- Hoover, AL
National Provider Identifier
1770368557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4051
- Practice address
- 656 Bluff Park Rd
Hoover, AL 35226-1234 - Phone
- (205) 540-0433
- NPI assigned
- Aug 29, 2023
- Last updated
- Aug 29, 2023
- 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 | 4051 | AL | Primary |
Addresses
Primary practice location
656 Bluff Park Rd
Hoover, AL 35226-1234
Mailing address
656 Bluff Park Rd
Hoover, AL 35226-1234
Phone (205) 540-0433
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4051 | AL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1770368557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 BLUFF PARK RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352261234",
"telephone_number": "205-540-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 BLUFF PARK RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352261234",
"telephone_number": "205-540-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "RACHAEL",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "DRPH, MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "4051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.