JERI WADE (NPI# 1760479794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760479794 |
| Entity Type | Individual |
| Full Name | JERI WADE |
| Credential | FNP |
| Practice Address |
190 Stetson Rd Auburn ME 04210-7813 |
| Practice Telephone | 2077847388 |
| Practice Fax Number | 2077952043 |
| Mailing Telephone | 2077847388 |
| Mailing Fax Number | 2077952043 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2010-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP081465 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 251110099 | 05 |
| Street Address |
190 STETSON RD |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186972 | Family Healthcare Associates Pa | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2005-10-04 |
| 1477107647 | Rebecca P Sirka | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2019-07-26 |
| 1174992788 | Martina M Sullivan | Social Worker | 190 Stetson Rd, Auburn, ME 04210-7813 | 2015-09-24 |
| 1174909675 | Amy Ouellette | Nurse Practitioner | 190 Stetson Rd, Auburn, ME 04210-7813 | 2015-08-06 |
| 1679884522 | Adam Duquette | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2010-06-25 |
| 1427288810 | Taylor C Butterfield | Physician Assistant | 190 Stetson Rd, Auburn, ME 04210-7813 | 2009-07-20 |
| 1447288808 | Jeffrey A Wall | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2006-06-28 |
| 1346237336 | Michael Rifkin | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2005-10-04 |
| 1548257603 | Peter H. Elias | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2005-10-04 |
| 1861489882 | Sarah Skelton | Family Medicine | 190 Stetson Rd, Auburn, ME 04210-7813 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778998 | Alice Sisi Wen | Nurse Practitioner | 121 N Division St Ste 100, Auburn, WA 98001-4931 | 2019-06-13 |
| 1801362579 | Kimberly Patrick | Nurse Practitioner | 1518 Professional Pkwy Ste A, Auburn, AL 36830-2857 | 2018-10-19 |
| 1023590304 | Allison Paige Hamel | Nurse Practitioner | 319 Southbridge St Ste 100, Auburn, MA 01501-2541 | 2018-09-03 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1851891667 | Delaney Baumann | Nurse Practitioner | 1306 E 7th St Ste A, Auburn, IN 46706-2537 | 2018-02-19 |
| 1568976710 | Rachel Foster | Nurse Practitioner | 11795 Education St Ste 224, Auburn, CA 95602-2469 | 2017-11-27 |
| 1578929949 | Jennifer Goble | Nurse Practitioner | 4508 Auburn Way N Ste C, Auburn, WA 98002 | 2016-01-14 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1871915637 | Becky J Drerup | Nurse Practitioner | 1316 E 7th St Ste 4, Auburn, IN 46706-2538 | 2014-01-14 |
| 1265740765 | Logan Physician Practice, LLC | Nurse Practitioner | 128 Sugar Maple Drive, Auburn, KY 42206 | 2010-09-17 |
| Find all providers in AUBURN | ||||
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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.