JEVETTA R WADE
NPI 1225524671
Durable Medical Equipment & Medical Supplies in Charlotte, NC

Active since July 09, 2018
8828 BALMORAL PARK DR, CHARLOTTE, NC 28277(980) 833-2029(980) 585-4415 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2020, Jul 10, 2018 (2 updates tracked since 2018).

  • Individual
  • Female
  • Durable Medical Equipment & Medical Supp...

About JEVETTA WADE

This page provides the complete NPI Profile along with additional information for Jevetta Wade, a provider established in Charlotte, North Carolina with a medical specialization in Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1225524671 assigned on July 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1225524671 Verify this NPI
Provider Name
JEVETTA R WADE
Gender
Female
Entity Type
Individual
Location Address
8828 BALMORAL PARK DR CHARLOTTE, NC 28277
Location Phone
(980) 833-2029
Location Fax
(980) 585-4415
Mailing Address
PO BOX 49329 CHARLOTTE, NC 28277
Mailing Phone
(980) 833-2029
Mailing Fax
(980) 545-4415
Is Sole Proprietor?
Yes
Enumeration Date
07-09-2018
Last Update Date
01-22-2020
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 
2332BD1200XSuppliers

Durable Medical Equipment & Medical Supplies
Dialysis Equipment & Supplies

 
3332BN1400XSuppliers

Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

 
4332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

 
5332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 
6343900000XTransportation Services

Non-emergency Medical Transport (VAN)

(NC)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225524671, enumerated as an "individual" on July 09, 2018.

The provider is located at 8828 BALMORAL PARK DR CHARLOTTE, NC 28277 and the phone number is (980) 833-2029.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.