NPIMap

Individual provider Active NPI

Jodie Bembry Wade, NP

  • Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1952495525
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201010 Issued in NC
Practice address
186 Medical Park Loop
Suite 503
Sylva, NC 28779-5222
Phone
(828) 586-7994
Fax
(828) 586-7940
NPI assigned
Oct 3, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201010 NC Primary

Addresses

Primary practice location

186 Medical Park Loop
Suite 503
Sylva, NC 28779-5222

Mailing address

186 Medical Park Loop
Ste 503
Sylva, NC 28779-5275
Phone (828) 586-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060220000401 NC Practitioner - Nurse Practitioner 9931114451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

186 Medical Park Loop
Suite 503
Sylva, NC 28779-4110
Phone (828) 586-7994

70 Westcare Dr
Suite 204
Sylva, NC 28779-5292
Phone (828) 586-7994

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201010NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Nurse Practitioner CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients
Hendrick Provider Network Past Accepting new patients
Haywood Women's Medical Center, PA Past Accepting new patients
Western Carolina Pulmonary & Critical Care, PLLC Past Accepting new patients

Locations

45 Plateau St
Bryson City, NC 28713
Phone (828) 488-2155

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

186 Medical Park Loop
Ste 503
Sylva, NC 28779
Phone (828) 331-8161

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • Direct secure messaging: jodie.wade.1@9865.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1952495525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL PARK LOOP",
            "address_2": "STE 503",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795275",
            "telephone_number": "828-586-7994",
            "fax_number": "828-586-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL PARK LOOP",
            "address_2": "SUITE 503",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795222",
            "telephone_number": "828-586-7994",
            "fax_number": "828-586-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JODIE",
        "middle_name": "BEMBRY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.