What is Autum Wade's NPI number?

Autum Wade's National Provider Identifier (NPI) is 1063155364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Autum Wade's specialty?

Autum Wade is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Autum Wade located?

Autum Wade's practice location on file with NPPES is 102 N Broadway St, Johnson City, TN 37601-3525.

What is Autum Wade's phone number?

The practice phone number listed in the NPPES registry for Autum Wade is (423) 588-9988.

Is Autum Wade's NPI active?

Yes — Autum Wade's NPI (1063155364) is active in the NPPES registry as of the last update on 2022-04-15.

IndividualActive

Autum Wade

NPI 1063155364 · Peer Specialist · Johnson City, TN

Autum Wade is a Peer Specialist provider in Johnson City, TN (NPI 1063155364).

Provider details

NPI number: 1063155364
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 000-1410 (TN)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 000-1410 (TN)
Other Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

102 N Broadway St

Johnson City, TN 37601-3525

Phone: (423) 588-9988

Street-level locationGet directions

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Mailing address