DUSTIN WADE (NPI# 1013323336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013323336 |
| Entity Type | Individual |
| Full Name | DUSTIN WADE |
| Practice Address |
821 E Veterans Memorial Hwy Blanchard OK 73010-9215 |
| Practice Telephone | 4054859588 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
91102 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669846648 | Dustin Wade | Licensed Practical Nurse | 4612 Bridgewood Rd, Midlothian, VA 23112-2812 | 2015-11-13 |
| Street Address |
821 E VETERANS MEMORIAL HWY |
| City | BLANCHARD |
| State | OK |
| Zip Code | 73010-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134213978 | Shawn Patrick Bonilla | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2006-10-03 |
| 1194250738 | Kimberly Schat | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2017-04-20 |
| 1669906806 | Healthcare Stat | Clinic/Center | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2017-04-14 |
| 1093174708 | Martin Edward Christensen | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2016-02-23 |
| 1457760274 | Lindsey Nicole Sheppard | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2014-08-06 |
| 1437433885 | Allergy & Respiratory Clinic of Southern Ok LLC | Clinic/Center | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2011-10-04 |
| 1871777987 | Roger A Hess | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1811154008 | Brant D. Spencer D.c. P.C. | Chiropractor | 104 S Main Street, Blanchard, OK 73010 | 2008-05-16 |
| 1932374675 | Travis L Turney Dds | Clinic/Center | 809 East Veterans Memorial Hwy, Blanchard, OK 73010 | 2008-04-24 |
| 1215134051 | Travis Lisle Turney | Dentist | 809 E Veterans Memorial Hwy, Blanchard, OK 73010 | 2007-06-27 |
| 1083735625 | Stephanie R Nesmith | Counselor | 27811 Portland Ave, Blanchard, OK 73010 | 2007-04-02 |
| 1588608376 | Ronald Keith Smith | Dentist | 1019 N. Council Ave, Suite # 2, Blanchard, OK 73010 | 2006-06-15 |
| 1659333557 | Brant D. Spencer | Chiropractor | 104 S. Main, Blanchard, OK 73010 | 2006-04-05 |
| 1376519397 | Vincent Michael Young | Optometrist | 112 S. Main, Blanchard, OK 73010 | 2006-02-28 |
| 1528693074 | Kaitlyn Nicole Boyce | Behavior Technician | 14828 Serenita Ave, Oklahoma City, OK 73010 | 2020-03-05 |
| Find all providers in zip 73010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762513 | Peterson Medical LLC | Nurse Practitioner | 217 N Harrison Ave, Blanchard, OK 73010-6211 | 2019-07-23 |
| 1790752483 | Leslie Diane Butler | Nurse Practitioner | 1019 N Council Ave, Suite 1, Blanchard, OK 73010-8045 | 2006-03-02 |
| 1093174708 | Martin Edward Christensen | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2016-02-23 |
| 1457760274 | Lindsey Nicole Sheppard | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.