MR. ROGER DALE WADE


Address: 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460
Phone: 9042716000

MR. ROGER DALE WADE (NPI# 1316504434) 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) 1316504434
Entity Type Individual
Full Name MR. ROGER DALE WADE
Credential RN
Practice Address 14550 Old Saint Augustine Rd
Jacksonville
FL 32258-2460
Mailing Address 760 Palmetto St
Oviedo
FL 32765-9548
Practice Telephone 9042716000
Mailing Telephone 8508303893
Enumeration Date 2019-05-23
Last Update Date 2019-05-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse RN9340067 FL Nursing Service Providers

Office Location

Street Address 14550 OLD SAINT AUGUSTINE RD
City JACKSONVILLE
State FL
Zip Code 32258-2460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740457522 Emergency Physicians Inc Emergency Medicine 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2008-05-12
1821699018 Coby Lynn Christensen Nurse Practitioner 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2020-11-04
1235745241 Camila Regondi Registered Nurse 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2020-09-16
1700495702 Rebecca Ann Umphers Registered Nurse 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2020-07-24
1790329365 Justin Honaker Registered Nurse 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2019-11-06
1538703632 Fatima Martinez Registered Nurse 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2019-10-31
1780227561 Janet Dheandriana Johnson Registered Nurse 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2019-10-23
1013573369 Jordan Kudlak Registered Nurse 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2019-05-13
1659835965 Corporate Health LLC Family Medicine 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2019-01-31
1497251557 Alyssa M Mackey Physical Therapist 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 2018-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902406598 Heidi Ellen Page Registered Nurse 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 2020-11-01
1851998934 Shekelia Jones Johnson Registered Nurse 3412 Natalie Dr S, Jacksonville, FL 32218-6532 2020-10-02
1598374365 Dawn Bivins-davis Registered Nurse 4150 Beflort Rd, Suite 551642, Jacksonville, FL 32255 2020-07-28
1497383129 Alice Gbelayan Registered Nurse 5858 Theed St, Jacksonville, FL 32211-4649 2020-03-30
1588295901 Yashica Harris Smalls Registered Nurse 401 Ponderosa Dr, Jacksonville, FL 32218-0319 2020-02-04
1104461334 Stacy Ann Scott-morrell Registered Nurse 342 E 46th St, Jacksonville, FL 32208-5480 2019-11-12
1215571641 Belinda Fleischer Registered Nurse Guidewell, 4855 Town Center Parkway, Jacksonville, FL 32246-8437 2019-10-29
1922640234 Rachel Kidder Registered Nurse 2478 Britney Lakes Ln, Jacksonville, FL 32221-3816 2019-10-09
1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
1275182073 Dionne F Turner Registered Nurse 8201 Green Parrot Rd, Jacksonville, FL 32256-3280 2019-09-05
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Competitor

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City JACKSONVILLE
Zip Code 32258

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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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