Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265707160 Individual Practitioner Female Practitioner

Kenya Michelle Wade , CPNP

Nurse Practitioner - Pediatrics • Dumfries, VA

Professional Overview & Biography Verified Profile Summary

Kenya Wade, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Dumfries, VA. Practice services are available at 3700 FETTLER PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3700 Fettler Park Dr

Dumfries, VA 220252050

Telephone 7034417655
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Dumfries, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Dumfries, VA (606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License VA 0024174942

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License NC 5005514

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Teonette Velasco , DPT

Physical Therapist

NPI 1053307553

Doctor of Physical Therapy

Claudia Goodall , LCSW

Social Worker - Clinical

NPI 1053581173

Licensed Clinical Social Worker

Amanda Hopkins

Physical Therapist

NPI 1063863348
Maura Jensen , RN

Registered Nurse - Case Management

NPI 1114731650

Registered Nurse

NPI 1114907037

PHYSICALTHERAPIST

Meredith Tussing , WHNP

Nurse Practitioner

NPI 1154601987

Women's Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Nurse Practitioner (License #5005514 in NC)

NPI Profile Active June 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2017

Registered at 3700 FETTLER PARK DR, DUMFRIES, VA 220252050 (Tel: 7034417655)

📍
Updated Business Mailing Address June 17, 2017

Registered at 28 CHRISTOPHER WAY, STAFFORD, VA 225547811 (Tel: (540) 658-9127)

👤
Provider Name / Credentials Updated June 17, 2017

Recorded as KENYA WADE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2017

Nurse Practitioner (License #0024174942 in VA)

NPI Profile Active October 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2015

Registered at 218 FOUST ST STE B, ASHEBORO, NC 272035476 (Tel: 3366262793)

📍
Updated Business Mailing Address October 03, 2015

Registered at 311 TARA ELIZABETH PL, KANNAPOLIS, NC 280837808 (Tel: 7049331530)

👤
Provider Name / Credentials Updated October 03, 2015

Recorded as KENYA WADE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2015

Nurse Practitioner (License #5005514 in NC)

🟢
Initial NPI Registration & Enumeration March 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265707160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2012
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

28 Christopher Way

Stafford, VA 225547811

Phone: 5406589127

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.