WENDY WADE (NPI# 1871950493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871950493 |
| Entity Type | Individual |
| Full Name | WENDY WADE |
| Other Name | WENDY ROBERTSON |
| Credential | CRNP |
| Practice Address |
1304 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Ste 204 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-140811 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114217148 | Wendy Jo Wade | Marriage & Family Therapist | 818 Golden Way Nw, Isanti, MN 55040-6508 | 2011-04-11 |
| 1851603393 | Wendy Ann Wade | Psychologist | 4500 Park Glen Rd, Suite 360, St Louis Park, MN 55416-4871 | 2010-07-13 |
| 1578768834 | Wendy Wade | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-06-18 |
| Street Address |
1304 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033165527 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2006-05-26 |
| 1619575966 | Samantha Luken | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1366049744 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-08 |
| 1225635113 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1194342279 | Dominique Reaux | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1265050306 | Rick Ramos | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1033740600 | Danny Martinez | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1235760968 | Maegan Yoder | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1023673225 | Bambi Creek | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| 1730744848 | Sidney Mcendre | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050615 | Jodi R Trujillo | Nurse Practitioner | 37 S Briarwood Pl, Pueblo, CO 81005-1803 | 2016-09-09 |
| 1851831846 | Annabelle Florez | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-02-24 |
| 1437554557 | Alison Shapiro | Nurse Practitioner | 56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 | 2014-10-31 |
| 1114357183 | Leslie Ann Branick Morrow | Nurse Practitioner | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2013-11-12 |
| 1811233448 | Slawomir Tycner | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2012-12-31 |
| 1760730295 | Brenda Jean Mcbride-wilson | Nurse Practitioner | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2012-08-15 |
| 1578810750 | Lorrie J. Hoffman | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2012-08-07 |
| 1013283241 | Monica A Flynn | Nurse Practitioner | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2012-04-02 |
| 1073833273 | Janice Mary Whiting | Nurse Practitioner | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2010-06-10 |
| 1366672719 | Jessica L Cummings | Nurse Practitioner | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1685 | 2009-07-20 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on WENDY 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.