Theresa Wade, Aprn LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-1950 Issued in HI

Legal business name

THERESA WADE, APRN LLC

Practice address

79-7446 Mamalahoa Hwy
Kealakekua, HI 96750-7913

Phone

(808) 393-0677

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Wade, APRNNPI 1063497758

Title

Sole Proprietor

Phone

(808) 333-5977

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Bergen Wade, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Captain Cook, HI
  • NPI 1063497758
  NPD (past) Authorized official

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1861850570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83-5737 KANELE ST",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967048329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7446 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507913",
            "telephone_number": "808-393-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA WADE, APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "808-333-5977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Michie Suzuki, OTR
• Zoltan Szabo, LMT
• Yasuoki Tanaka, D.C.
• Mara Tepper
• The Family Psychologist, Inc
• Lauren Thom, MBBS, MD
• Deborah Lynn Thomas, P.T.
• Timothy E. Kale Optometrist, Inc (All Eyes)
• Barney M Toyama, M.D.
• Katie Lynne Trujillo, MED

• Psychiatric/Mental Health Nurse Practitioner in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.