SARITA WALLACE (NPI# 1043629124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043629124 |
| Entity Type | Individual |
| Full Name | SARITA WALLACE |
| Practice Address |
462 Doverwood Dr Reynoldsburg OH 43068-1167 |
| Practice Telephone | 6143092195 |
| Mailing Telephone | 6143092195 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2015-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN419057 | OH | Nursing Service Providers |
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address |
462 DOVERWOOD DR |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| 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 |
|---|---|---|---|---|
| 1013535202 | Lutrena Diane Draper | Registered Nurse | 8294 Bellow Park Dr, Reynoldsburg, OH 43068-9347 | 2020-07-14 |
| 1104467927 | Luam Habtemariam Abraha | Registered Nurse | 2841 Shadwell Dr, Reynoldsburg, OH 43068-5041 | 2019-10-02 |
| 1063986073 | Lena Jones | Registered Nurse | 7051 Trillium Ln, Reynoldsburg, OH 43068-4832 | 2019-01-14 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1942731211 | Vanessa Scales | Registered Nurse | 1336 N Jackson Ave, Reynoldsburg, OH 43068-2130 | 2017-03-27 |
| 1619416377 | Wendy Martin | Registered Nurse | 7031 Bryemar Dr, Reynoldsburg, OH 43068-9773 | 2017-02-14 |
| 1790229219 | Jaimie Lynn Williams | Registered Nurse | 7261 Arborlee Dr, Reynoldsburg, OH 43068-7095 | 2016-12-19 |
| 1285182972 | Staci Wood | Registered Nurse | 8161 Goldsmith Drive, Reynoldsburg, OH 43068-4712 | 2016-09-12 |
| 1194138354 | Eyong Agbor | Registered Nurse | 7305 Brooke Blvd, Reynoldsburg, OH 43068-5281 | 2014-06-05 |
| 1649682055 | Yavawn Channakhone | Registered Nurse | 7088 Bennell Dr, Reynoldsburg, OH 43068-8235 | 2014-05-20 |
| Find all providers in REYNOLDSBURG | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
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| 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.