AUTUM WADE
NPI 1063155364
Peer Specialist in Johnson City, TN
NPI Status: Active since April 15, 2022
Contact Information
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 588-9988
- Individual
- Female
- Peer Specialist
About AUTUM WADE
This page provides the complete NPI Profile along with additional information for Autum Wade, a provider established in Johnson City, Tennessee with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1063155364 assigned on April 2022. The practitioner's primary taxonomy code is 175T00000X with license number 000-1410 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1063155364
- Provider Name
- AUTUM WADE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 102 N BROADWAY ST JOHNSON CITY, TN 37601
- Location Phone
- (423) 588-9988
- Mailing Address
- 102 N BROADWAY ST JOHNSON CITY, TN 37601
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-15-2022
- Last Update Date
- 04-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 000-1410
- License State
- TN
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 1 | 5 | 5 | 3 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 5 | 10 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 5 + 1 + 0 + 3 + 1 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1063155364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
DRAGFONFLY WELLNESS CENTER
Clinic/Center
(Rehabilitation, Substance Use Disorder)
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
DR. ALICIA MERIE CAFFREY
Psychologist
(Clinical)
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
Family Medicine
(Addiction Medicine)
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
MS. MARNICHELLE KY BONOCAN CLAMOHOY RN
Registered Nurse
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
MICHAEL ZACHARY BROWN LPN
Licensed Practical Nurse
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
MRS. KRYSTAL STARR MERZ LPN
Licensed Practical Nurse
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
DR. MATTHEW JOHN CAFFREY MD/MPH
Family Medicine
(Addiction Medicine)
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
LINDSAY HOPE SMITH
Social Worker
(Clinical)
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
JACOB ELIZABETH PHILLIPS BSW
Social Worker
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
REBECCA FRAZIER LMSW
Social Worker
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
AUDRA OWENS LPN
Licensed Practical Nurse
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
KARA LOVEN KEENE PA-C
Physician Assistant
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
MRS. CATHERINE JEAN PIERCE RN
Registered Nurse
(Addiction (Substance Use Disorder))
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063155364, enumerated as an "individual" on April 15, 2022.
The provider is located at 102 N BROADWAY ST JOHNSON CITY, TN 37601 and the phone number is (423) 588-9988.
Peer Specialist with taxonomy code 175T00000X.
