Jacqueline Sherry Wade, BMHCC, IINHCC, BHCC,

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

3512610284 Issued in OK

Practice address

5508 S Lewis Ave Ste 200
Tulsa, OK 74105-7105

Phone

(918) 985-1129

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jacqueline Sherry Barrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Barrett Wellness LLC

  • Health & Wellness Coach
  • Tulsa, OK
  • NPI 1629939111

  Nutritionist

  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1790526358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 S LEWIS AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057105",
            "telephone_number": "918-985-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 S LEWIS AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057105",
            "telephone_number": "918-985-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JACQUELINE",
        "middle_name": "SHERRY",
        "name_prefix": "Mrs.",
        "credential": "BMHCC, IINHCC, BHCC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "OK",
            "license": "3512610284",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": "OK",
            "license": "3512610284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BARRETT",
            "middle_name": "SHERRY",
            "credential": "BMHCC, IINHCC, BHCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Lee Wachtman, CO
• Michael Wackowski, M.D.
• Rebecca M Wackowski, M.D.
• Jourdan Waddell, MPH
• Wade Sessom, DDS, PC
• Kimberly Wade, M.S., CCC-SLP
• La'Ebony Wade
• Laura Wade, BA AND MASTERS
• Lynwood Alphonzo Wade III, BA
• Philander Wade II

• Health & Wellness Coach in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Health & Wellness Coach in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.