CATHERINE WALLACE (NPI# 1033200431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033200431 |
| Entity Type | Individual |
| Full Name | CATHERINE WALLACE |
| Credential | NP |
| Practice Address |
1250 E 9th St Des Moines IA 50316-2316 |
| Practice Telephone | 5152632600 |
| Practice Fax Number | 5152632620 |
| Mailing Telephone | 5152632600 |
| Mailing Fax Number | 5152632620 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
A106126 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP1700X |
Nurse Practitioner Specialization: Perinatal |
A106126 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | JOHN DEERE | IA0104 | 01 |
| IA | 1033200431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946606 | Catherine Wallace | Urology | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-10 |
| 1154895647 | Catherine Wallace | Physician Assistant | 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370 | 2019-01-17 |
| 1083130827 | Catherine Jessica Wallace | Student in an Organized Health Care Education/Training Program | 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 | 2017-08-14 |
| 1679095178 | Catherine Kelly Wallace | Counselor | 625 Delaware Ave Ste 204, Buffalo, NY 14202-1007 | 2017-07-17 |
| 1497118335 | Catherine Lauren Wallace | Family Medicine | 1125 N Church St, Greensboro, NC 27401-1007 | 2016-03-29 |
| 1528439171 | Catherine Wallace | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2015-10-08 |
| 1598150575 | Catherine Maria Caska Wallace | Psychologist | 1660 S Columbian Way # 116mhc, Seattle, WA 98108-1532 | 2015-04-06 |
| 1518918036 | Catherine M. Wallace | Pediatrics | 100 N Academy Ave, Danville, PA 17822-2710 | 2006-05-12 |
| Street Address |
1250 E 9TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780767582 | Charles Howard Svensson | Obstetrics & Gynecology | 1250 E 9th St, Des Moines, IA 50316-2316 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 363LP1700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Perinatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192795 | Central Iowa Hospital Corporation | Nurse Practitioner | 3714 Ingersoll Ave, Des Moines, IA 50312-3411 | 2017-02-07 |
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on CATHERINE WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.