TANCEN WADE


Address: 542 4th Ave Ste B101, Fairbanks, AK 99701-4707
Phone: 9073741097

TANCEN WADE (NPI# 1356948863) 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) 1356948863
Entity Type Individual
Full Name TANCEN WADE
Practice Address 542 4th Ave Ste B101
Fairbanks
AK 99701-4707
Mailing Address Po Box 73004
Fairbanks
AK 99707-3004
Practice Telephone 9073741097
Enumeration Date 2020-10-07
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK 1687081 05

Office Location

Street Address 542 4TH AVE STE B101
City FAIRBANKS
State AK
Zip Code 99701-4707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952634420 Shelissa F Thomas Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701 2009-09-15
1689274102 Shaun'trece White Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-26
1942800461 Leann Adams Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-26
1205436623 Arianna Kopp Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-26
1497353783 Heather Suzanna Matumeak Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-09
1972100485 Ashley M Stevens Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-07
1760089130 Jessica Heath-oatman Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-07
1093312670 Jessica Sue Eickermann Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-10-06
1699381228 Jozey Maria Martellaro Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2020-09-18
1184277808 Staysha Kelly Counselor 542 4th Ave Ste B101, Fairbanks, AK 99701-4707 2019-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984987 Resource Center for Parents & Children, Inc. Social Worker 726 26th Ave, Suite #2, Fairbanks, AK 99701 2020-08-26
1134738982 Aaron Paul Sarauer Behavior Technician 3121 Lathrop St., Fairbanks, AK 99701 2020-07-28
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1821588989 Corrie Wilson Nurse Practitioner 1025 Barnette Street, Fairbanks, AK 99701 2018-05-15
1922519305 Sarishma Sangeeta Lal Registered Nurse 815 2nd Ave Ste 122, Fairbanks, AK 99701 2017-10-12
1245690569 Christine L Simko Naturopath 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 2016-02-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18
1700272705 John D. Zipperer Jr Md, LLC Clinic/Center 751 Old Richardson Hwy., Fairbanks, AK 99701 2015-04-07
1578957460 Mara Justine Becker Physician Assistant 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 2015-03-27
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293959 Keyda Samone Harris Peer Specialist 1423 Peger Rd, Fairbanks, AK 99709-5169 2020-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851998223 Patricia Main Peer Specialist 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 2020-10-07
1215552526 Joshua Dee Engle Peer Specialist 1419 S Kittiwake St, Wasilla, AK 99623-9302 2020-06-11
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1699399303 Jennifer Benton Peer Specialist 11932 Town Park Cir, Eagle River, AK 99577-7788 2020-05-29
1104449800 Aubrey Danielle Cave Peer Specialist 5752 W Kranberry Ln, Wasilla, AK 99623-1050 2020-05-28
1811534803 Colleen H Ward-wilson Peer Specialist 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 2019-12-09
1538701222 Betty Jo Shepherd-hebb Peer Specialist 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 2019-10-14
1629610563 Mikko Joseph Barribeau Peer Specialist 2762 N Azurite Cir, Wasilla, AK 99654-4540 2019-10-11
1194366088 Matalena Suitupe Lokeni Peer Specialist 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 2019-10-02
1285280784 Zoe Dixon Peer Specialist 15765 Kingsley Rd, Ninilchik, AK 99639 2019-08-12
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Competitor

Search similar providers

City FAIRBANKS
Zip Code 99701

Improve Information

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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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