Active NPI
Vashti Lavonne Wade, NURSE
- Registered Nurse
- Detroit, MI
National Provider Identifier
1942433214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704157486
- Practice address
- 20303 Kelly Rd
Detroit, MI 48225-1206 - Phone
- (313) 245-7000
- NPI assigned
- Sep 2, 2009
- Last updated
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704157486 | MI | Primary |
Addresses
Primary practice location
20303 Kelly Rd
Detroit, MI 48225-1206
Mailing address
20303 Kelly Rd
Detroit, MI 48225-1206
Phone (313) 245-7000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704157486 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1942433214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20303 KELLY RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482251206",
"telephone_number": "313-245-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 KELLY RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482251206",
"telephone_number": "313-245-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "VASHTI",
"middle_name": "LAVONNE",
"name_prefix": "Mrs.",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704157486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.