Nancy Earline Wade, RN

Primary specialty

Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X

License

RN088948 Issued in GA

Practice address

738 N Parkwood Rd
Decatur, GA 30030-5024

Phone

(678) 612-2456

Fax

(404) 378-5761

NPI assigned

Dec 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Wound Care Consultants, LLC

  • Enterostomal Therapy Registered Nurse
  • Decatur, GA
  • NPI 1437314770
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780744177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 N PARKWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 N PARKWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305024",
            "telephone_number": "678-612-2456",
            "fax_number": "404-378-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "NANCY",
        "middle_name": "EARLINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "GA",
            "license": "RN088948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "83-02690",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Wachman, DC
• Waddle Services LLC (Waddle)
• Laura E Waddle, M.D.
• Dawnar Wade
• Dwan Wade
• Mufida Muradali Wadhwania, M.D.
• Michael Wadleigh
• Monica Maria Wadley
• Peyton Waggener
• Amanda Kay Wagner, LCSW

• Registered Nurse in Decatur, GA
• Providers in Decatur, GA by specialty
• Registered Nurse in Georgia

• 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.

Verify at the official NPI Registry.