Active NPI
Laura Kay Wade, M.D.
- Family Medicine Physician
- Wenatchee, WA
National Provider Identifier
1851376560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C516390
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- Dec 14, 2005
- Last updated
- Jun 30, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C51639 | CA | |
| Family Medicine Physician | 207Q00000X | C516390 | CA | Primary |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C516390 | Medicaid | CA | |
| 201188245 | Other | CA | TRICARE WEST REGION |
| 610735200 | Other | CA | FECA |
| 201188245 | Other | CA | BLUE SHIED CA |
| 201188245 | Other | CA | BLUE CROSS |
| P00149731 | Other | CA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51639 | CA | MD | Emergency Medicine Physician |
| C516390 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Health Care PC | Family Medicine | Past | Accepting new patients |
| Edward B. Miller, M.D., Inc | Past | Accepting new patients | |
| Todd Guthrie, M.D., Professional Corporation | Past | Accepting new patients | |
| Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Mount Eddy Emergency Physicians Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Sonoma Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| McCloud Healthcare Clinic, Inc. | Past | Accepting new patients |
Interoperability endpoints
- lweber18449@edirect.chehr.org
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Mount Shasta, CA
- NPI 1770764177
-
- Family Medicine Physician
- Silverthorne, CO
- NPI 1770785131
-
- Dentist
- Dunsmuir, CA
- NPI 1457059768
-
- Emergency Medicine Physician
- Mount Shasta, CA
- NPI 1316299787
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1710164629
-
- Orthopaedic Surgery Physician
- Mount Shasta, CA
- NPI 1639366784
-
dba Mercy Mt. Shasta Medical Corporation
- Emergency Medicine Physician
- Mount Shasta, CA
- NPI 1497849574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1851376560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "LAURA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C51639",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C516390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C516390",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST REGION",
"identifier": "201188245",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA",
"identifier": "610735200",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIED CA",
"identifier": "201188245",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "201188245",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00149731",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.