HEATHER MICHELLE WADE (NPI# 1033136072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033136072 |
| Entity Type | Individual |
| Full Name | HEATHER MICHELLE WADE |
| Other Name | HEATHER MICHELLE EDWARDS |
| Credential | A.R.N.P. |
| Practice Address |
421 Kingsley Ave Suite 402 Orange Park FL 32073-4897 |
| Mailing Address |
7855 Argyle Forest Blvd Suite 101 Jacksonville FL 32244-5596 |
| Practice Telephone | 9046210643 |
| Practice Fax Number | 9046210644 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042824117 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9206589 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 305910300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164799540 | Heather Noelle Wade | Nurse Practitioner | 722 Loughborough Ave, Saint Louis, MO 63111-2732 | 2011-11-29 |
| 1700935228 | Heather Larkin Wade | Pediatrics | 5101 Lanier Ave Fl 2, Baltimore, MD 21215-5321 | 2007-01-10 |
| 1023552742 | Heather Ryann Wade | Nurse Practitioner | 7497 Right Flank Rd, Mechanicsville, VA 23116-3847 | 2016-12-14 |
| 1235464652 | Heather Saunders Wade | Physician Assistant | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2009-10-04 |
| Street Address |
421 KINGSLEY AVE SUITE 402 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073065330 | Alethea Brooke Brown | Nurse Practitioner | 421 Kingsley Ave, Suite 402, Orange Park, FL 32073-4897 | 2016-11-02 |
| 1831530658 | Physicians Group Services Pa | Family Medicine | 421 Kingsley Ave, Orange Park, FL 32073-4897 | 2013-07-09 |
| 1528371051 | Physicians Group Services, Pa | Family Medicine | 421 Kingsley Ave, Suite 402, Orange Park, FL 32073-4897 | 2010-07-26 |
| 1073745634 | Northeast Florida Plastic Surgery | Specialist | 421 Kingsley Ave, #200, Orange Park, FL 32073-4897 | 2009-08-17 |
| 1437355302 | Michael Aaron Edwards | Family Medicine | 421 Kingsley Ave, Suite 402, Orange Park, FL 32073-4898 | 2007-06-26 |
| 1831231596 | Andrea L Piercey | Nurse Practitioner | 421 Kingsley Ave, Suite 402, Orange Park, FL 32073-4897 | 2007-02-12 |
| 1700961018 | Eric Andrew Weiss | Specialist | 421 Kingsley Ave, Bldg 200, Orange Park, FL 32073-4897 | 2006-10-26 |
| 1306866512 | Orange Park Orthopaedic Associates, P.a. | Orthopaedic Surgery | 421 Kingsley Ave, Suite 401, Orange Park, FL 32073-4897 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530458 | Courtney A. Sheehan | Nurse Practitioner | 510 Kevin Dr, Orange Park, FL 32073-2780 | 2020-08-26 |
| 1508498239 | Dorothy Cassandra Meeks | Nurse Practitioner | 3007 Brittany Bluff Dr, Orange Park, FL 32073-1632 | 2020-02-11 |
| 1851930747 | Earlon Maddox | Nurse Practitioner | 1863 Wells Rd Apt 44, Orange Park, FL 32073-2356 | 2019-12-26 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1760953624 | Stephanie Julia Drummond | Nurse Practitioner | 1895 Kingsley Ave Ste 404, Orange Park, FL 32073-4453 | 2018-12-17 |
| 1861976789 | Aleisha Michelle Gasaway | Nurse Practitioner | 3847 Chasing Falls Rd, Orange Park, FL 32065-3570 | 2018-09-17 |
| 1710472519 | Brittany Lee Martens | Nurse Practitioner | 2300 Park Ave Ste 101, Orange Park, FL 32073 | 2018-06-25 |
| 1730684655 | Marissa Manansala Aranzaso | Nurse Practitioner | 3524 Silver Bluff Blvd, Orange Park, FL 32065-5257 | 2018-03-25 |
| 1689178667 | Georgette Louise Provost-dukes | Nurse Practitioner | 3110 White Heron Trl, Orange Park, FL 32073-1644 | 2018-03-22 |
| 1548771678 | Amanda Hall | Nurse Practitioner | 1210 Kingsley Ave, Orange Park, FL 32073-4616 | 2017-10-16 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on HEATHER MICHELLE WADE.
| 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.