AMBER JUNE WADE (NPI# 1568862001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568862001 |
| Entity Type | Individual |
| Full Name | AMBER JUNE WADE |
| Other Name | AMBER JUNE WILLOUGHBY |
| Credential | PA-C |
| Practice Address |
7945 Wolf River Blvd Germantown TN 38138-1762 |
| Mailing Address |
7714 Poplar Ave Ste 200 Germantown TN 38138-3941 |
| Practice Telephone | 9016830055 |
| Practice Fax Number | 9016852969 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9019226722 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2585 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q010840 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813115 | Amber Wade | Social Worker | 2507 Se Mile Hill Dr Ste C-104, Port Orchard, WA 98366-3515 | 2019-04-02 |
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1275996548 | Amber Wade | Social Worker | 304 S Niagara St, Saginaw, MI 48602-1570 | 2016-04-03 |
| Street Address |
7945 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268592 | Suhail M Obaji | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2005-07-13 |
| 1851907703 | Christen Ann Coleman | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-09-16 |
| 1861001794 | Stephanie Ham | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-07-27 |
| 1760037287 | Michael Robert Seitz | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-08-02 |
| 1134785769 | Tiffany Sophia Bennett | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-20 |
| 1962068833 | Laura Leigh Smith | Occupational Therapist | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-15 |
| 1649733502 | Tiffany Hunt Kinard | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-04-08 |
| 1669933461 | Ellen Wills | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-26 |
| 1144781022 | Courtney Renae Susser | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-25 |
| 1063978948 | Kathryn Wright | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714704 | Erin Benefiel | Physician Assistant | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 | 2019-01-30 |
| 1164996245 | Bradley Bailey | Physician Assistant | 19851 Observation Dr Ste 250, Germantown, MD 20876-4151 | 2019-01-11 |
| 1922579150 | Utkala Segu | Physician Assistant | 18629 Autumn Mist Dr, Germantown, MD 20874-2180 | 2018-12-16 |
| 1508382615 | Hilary Andrews | Physician Assistant | 7148 Donnington Dr, Germantown, TN 38138-4614 | 2017-08-21 |
| 1093168189 | Melissa Marie Whitehouse | Physician Assistant | W199n11298 Rosewood Ct, Germantown, WI 53022-2935 | 2016-07-13 |
| 1215205828 | Ashley Lawrence | Physician Assistant | 7705 Poplar Ave Ste 310b, Germantown, TN 38138-3930 | 2011-12-09 |
| 1699907758 | Xavier Dominique Lennon | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2009-08-21 |
| 1093925950 | Brooke Amanda Helms | Physician Assistant | 9067 Poplar Ave, Suite 109, Germantown, TN 38138-7851 | 2007-05-22 |
| 1194844183 | Katherine Mary Gresham | Physician Assistant | 7485 Poplar Pike, Germantown, TN 38138-5934 | 2007-03-29 |
| 1477551208 | Tammy L Welch | Physician Assistant | 20410 Observation Dr Ste 100, Germantown, MD 20876-6419 | 2005-07-14 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.