AMY EVELYN WALLACE (NPI# 1043452063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043452063 |
| Entity Type | Individual |
| Full Name | AMY EVELYN WALLACE |
| Practice Address |
516 Nizhoni Blvd Gallup NM 87301-5748 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221207 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 056303-21 | NH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922472455 | Amy Wallace | Nurse Practitioner | 333 Portage St, Kalamazoo, MI 49007-4931 | 2015-11-20 |
| 1760887657 | Amy Wallace | Case Manager/Care Coordinator | 34 Seals Dr, Monroe, NY 10950-3949 | 2014-11-04 |
| 1376958553 | Amy Wallace | Occupational Therapy Assistant | 741 Fenwick Rd, Hillsboro, OH 45133-6789 | 2014-06-25 |
| 1528362902 | Amy Vosburg Wallace | Counselor | 6814 Auburn Oak Trl, Humble, TX 77346-1366 | 2010-12-29 |
| 1861663122 | Amy Beth Wallace | Licensed Practical Nurse | 150 Gate House Trl, Henrietta, NY 14467-9559 | 2008-03-14 |
| 1831289917 | Amy Piatt Wallace | Speech-Language Pathologist | 238 Cureton St, Greenville, SC 29605-1031 | 2006-10-13 |
| 1134619463 | Amy Wallace | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-05-11 |
| 1104178052 | Amy M Wallace | Nurse Practitioner | 800 Rose St, 4th Floor, Lexington, KY 40536-0001 | 2012-10-02 |
| 1740457209 | Amy Wallace | Obstetrics & Gynecology | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2008-05-14 |
| 1376695627 | Amy Catherine Wallace | Occupational Therapist | 2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 | 2007-01-17 |
| Street Address |
516 NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670861 | Michael Davis | Optometrist | 516 Nizhoni Blvd, Department 18, Gallup, NM 87301-5748 | 2005-06-22 |
| 1083161509 | Denice Bobelu | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301 | 2016-09-01 |
| 1730438912 | Natasha Renee Sellers | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-1337 | 2012-09-05 |
| 1003184201 | Nancy Davis | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-12-02 |
| 1760788012 | Diana D Chavez | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-02-03 |
| 1649576232 | Linda Lovell | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-31 |
| 1871898692 | Patricia Bialach | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-26 |
| 1861797052 | Elizabeth A Verostko | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-19 |
| 1457656191 | Lisa Marie Shaurette | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-11 |
| 1003110537 | Sally Catherine Kaufman | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720998 | Yolanda Arroyo-fontanez | Registered Nurse | 900 Boardman Dr Apt I89, Gallup, NM 87301-4748 | 2020-11-06 |
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1871830877 | Mayra Limargi Torres-resto | Registered Nurse | 5160 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2013-01-10 |
| 1023389798 | Robert D. Allen | Registered Nurse | 516 Nizhoni Blzd, Gallup, NM 87301 | 2012-01-26 |
| 1356587844 | Mary Lee Fertig | Registered Nurse | 303 Hidden Cove Cir, Gallup, NM 87301-5730 | 2009-01-05 |
| 1144414103 | Teresa Mary Sadberry | Registered Nurse | 515 E Nizhoni Blvd, Gallup, NM 87301-1337 | 2007-09-04 |
| 1922292168 | Olga Velez | Registered Nurse | 516 Nizhoni, Gallup, NM 87301 | 2007-08-30 |
| 1205437712 | Maryann T Park | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1649871054 | Lesley J Legah | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1558977967 | Junior Andres Fernandez Cubilete | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-09-21 |
| Find all providers in GALLUP | ||||
Please comment or provide details below to improve the information on AMY EVELYN 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.