Shirley Freeman Wade, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

03750 Issued in LA

Practice address

7855 Howell Blvd
Suite 200
Baton Rouge, LA 70807

Phone

(225) 454-6000

Fax

(225) 454-6015

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HIV-AIDS Alliance for Region TwoGroup PAC ID 4880981158, shared by 14 NPIs, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swade@sghc.directbygreenway.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St Gabriel Health Clinic Inc

  dba Gardere Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1962777136

  Corporate Director

  CMS ownership

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.

• St Gabriel Health Clinic Inc

  • Family Medicine Physician
  • Saint Gabriel, LA
  • NPI 1093874000
  Medicare reassignment NPD
• St Gabriel Health Clinic Inc

  dba Gardere Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1962777136
  NPD
• Bayou State Group, Inc

  • Clinic/Center
  • Eunice, LA
  • NPI 1720026727
  NPD (past)
• HIV-AIDS Alliance for Region Two

  dba Open Health Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1316704000
  NPD (past)
• HIV-AIDS Alliance for Region Two

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1437527900
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831250166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 SERACEDAR DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165015",
            "telephone_number": "225-295-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "SUITE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70807",
            "telephone_number": "225-454-6000",
            "fax_number": "225-454-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SHIRLEY",
        "middle_name": "FREEMAN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "03750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141372",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Wade, MD
• Jarnisa D Wade, BSW, RSW
• Lawrence Durell Wade, M.D., LLC
• Morgan Wade, CIT
• Shelette Wade
• Trais D Wade
• Robert F Waggener, M.DIV, LCSW
• Mark J Waggenspack, MD
• Wame Nicholas Waggenspack Jr., M.D.
• Jessica Waggoner

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.