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AMANDA WADE
NPI 1639854565
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since June 19, 2023
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Jun 19, 2023 (2 updates tracked since 2023).

About Amanda Wade NPPES

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

AMANDA WADE (NPI 1639854565) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since June 2023. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1639854565
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA WADE
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address50 N Medical DrSalt Lake City, UT 84132-0001
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateJune 19, 2023
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1639854565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
50 N MEDICAL DR, Salt Lake City, UT 84132
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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-8311

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Amanda Wade's NPI number?

The NPI number for Amanda Wade is 1639854565. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Amanda Wade located?

Amanda Wade practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Amanda Wade's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Wade was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.