MRS. TYESHA ROCHELLE WADE LPN
NPI 1093408320
Licensed Practical Nurse in Columbia, SC

Q: What is Tyesha Wade's NPI number?

The NPI number for Tyesha Wade is 1093408320. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Q: What is Tyesha Wade's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyesha Wade was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2023

3616 KELFORD DR, COLUMBIA, SC 29209(803) 521-2848 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Tyesha Rochelle Wade Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TYESHA ROCHELLE WADE LPN (NPI 1093408320) is an individual licensed practical nurse in Columbia, South Carolina, licensed in South Carolina (50188) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1093408320

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. TYESHA ROCHELLE WADECredential: LPN

Location Address3616 KELFORD DRColumbia, SC 29209-4329

Mailing Address3616 Kelford DrColumbia, SC 29209-4329 · (803) 521-2848

Phone(803) 521-2848

Sole ProprietorYes

Enumeration DateJune 1, 2023

NPPES CertifiedJune 1, 2023

✔ NPI 1093408320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in SC · 50188

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3616 KELFORD DR, Columbia, SC 29209

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyesha Wade's NPI number?

The NPI number for Tyesha Wade is 1093408320. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Tyesha Wade located?

Tyesha Wade practices at 3616 Kelford Dr, Columbia, SC 29209. The listed phone number is (803) 521-2848.

What is Tyesha Wade's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tyesha Wade was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.