Christina Ann Wade, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

685064 Issued in TX

Practice address

12403 Muller Sky CT
Tomball, TX 77377-1519

Phone

(832) 633-5963

NPI assigned

May 24, 2011

Last updated

Apr 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1942593926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 MULLER SKY CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 MULLER SKY CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773771519",
            "telephone_number": "832-633-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "685064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS NURSING LICENSE",
            "identifier": "685064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kalli Taylor Wakefield, BCBA
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• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0703)

• Pediatric Nurse Practitioner in Tomball, TX
• Providers in Tomball, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.