JOANNA J WADE


Address: 3505 Western Ave Ste A, Kingman, AZ 86409-3074
Phone: 9287578111

JOANNA J WADE (NPI# 1023482627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023482627
Entity Type Individual
Full Name JOANNA J WADE
Credential LNP
Practice Address 3505 Western Ave Ste A
Kingman
AZ 86409-3074
Mailing Address 600 Jackson St
Fredericksburg
VA 22401-5719
Practice Telephone 9287578111
Practice Fax Number 9287571199
Mailing Telephone 5403733223
Mailing Fax Number 5403713753
Enumeration Date 2015-11-19
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP8810 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024173025 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3505 WESTERN AVE STE A
City KINGMAN
State AZ
Zip Code 86409-3074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902894272 Mohave Mental Health Clinic Inc Clinic/Center 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2005-10-11
1770090599 Schevon Makeba, Natasha Pierre Registered Nurse 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2018-01-02
1417402280 Ian James Adams Nurse Practitioner 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2016-08-22
1457774077 Heather Burt Social Worker 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2014-02-03
1669619359 Antone Yohann Brummund Counselor 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2009-01-16
1922275692 Mohave Mental Health Clinic Inc Community/Behavioral Health 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2008-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437695731 Medical Laboratory Specialty, Inc Clinical Medical Laboratory 3636 St, Kingman, AZ 86409 2017-01-10
1003219007 Premier Home Health Agency Home Health 3555 Western Ave, Kingman, AZ 86409 2014-10-03
1558774984 Fernando Velez Pharmacist 2003 Roy Rogers Way, Kingman, AZ 86409 2014-06-03
1013227834 Route 66 Cab Inc Taxi 3595 E Us Highway 66, Kingman, AZ 86409 2010-10-14
1740503374 Route 66 Cab Inc. Taxi 3595 East Hwy 66, Kingman, AZ 86409 2010-03-10
1649409145 Arizona Cvs Stores, L.L.C. Durable Medical Equipment & Medical Supplies 3501 Stockton Hill Rd, Kingman, AZ 86409 2009-07-07
1790922896 Jack Cheng-tsung Hou Urology 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 2009-01-12
1710184726 Michele F Epstein Internal Medicine 3571 N Moore Street, Kingman, AZ 86409 2007-07-02
1013118306 Conchita O Mercado Dentist 1101 Riata Valley Rd, Kingman, AZ 86409 2007-05-31
1366585945 Deering Therapy Services Ltd Occupational Therapist 1841 Morrow Ave, Kingman, AZ 86409 2007-02-14
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760855373 Jared Bennett Nurse Practitioner 2215 Hualapai Mountain Rd Ste H, Kingman, AZ 86401-8324 2015-11-04
1366502486 Naomi Brown Nurse Practitioner 2215 Hualapai Mountain Rd, Suite H and I, Kingman, AZ 86401-8324 2006-12-11
1457960742 Dana Pleshette Smith Zimmermann Nurse Practitioner 3505 Western Ave, Kingman, AZ 86409-3071 2020-07-23
1669001863 Michelle Reid Nurse Practitioner 1741 Sycamore Ave, Kingman, AZ 86409-0927 2020-04-08
1417402280 Ian James Adams Nurse Practitioner 3505 Western Ave Ste A, Kingman, AZ 86409-3074 2016-08-22
1346616174 Michael Serrano Nurse Practitioner 3505-a Western Ave, Kingman, AZ 86409 2015-08-17
1538346994 Emmerll Rackley Nurse Practitioner 1741 Sycamore Ave, 3508 Western Ave, Kingman, AZ 86409-0927 2008-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922608447 Courtney Tafoya Nurse Practitioner 544 S 172nd Ave, Goodyear, AZ 85338-1281 2020-10-26
1215536479 Yolanda D Baugh Nurse Practitioner 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 2020-10-20
1871191593 Lisa E Legg Nurse Practitioner 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 2020-10-14
1619584406 Preston Strebeck Nurse Practitioner 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 2020-09-25
1336754332 Yvonne Maese Nurse Practitioner 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 2020-09-15
1306450960 Williamsconsultant Com LLC Nurse Practitioner 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 2020-09-01
1215549274 Maria Graciela Cornejo Nurse Practitioner 3421 S Loback Ln, Gilbert, AZ 85297-7913 2020-08-20
1013529155 Mark Skousen Nurse Practitioner 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 2020-08-19
1356953699 Rebecca Jane Turley Nurse Practitioner 1681 S Villas Ln, Chandler, AZ 85286-6805 2020-08-18
1467064063 Dylan O'keefe Carey Nurse Practitioner 11702 W Fordson Dr, Marana, AZ 85653-7715 2020-08-17
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Competitor

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City KINGMAN
Zip Code 86409

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Dataset Information

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.

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