THERESA WALLACE (NPI# 1063947018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063947018 |
| Entity Type | Individual |
| Full Name | THERESA WALLACE |
| Practice Address |
2201 1/2 Roslyn Ave Apt 203 Baltimore MD 21216-2522 |
| Practice Telephone | 4434682142 |
| Mailing Telephone | 4434682142 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498039 | Theresa Wallace | Home Health Aide | 1200 Ac Evans St Apt 2, Riviera Beach, FL 33404-2063 | 2018-08-27 |
| 1497096333 | Theresa Wallace | Behavioral Analyst | 147-26 18th Ave, Whitestone, NY 11357-3108 | 2013-03-01 |
| 1124688445 | Theresa Marie Wallace | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4787 | 2019-06-18 |
| 1467990572 | Theresa Marie Wallace | Licensed Vocational Nurse | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2017-02-09 |
| 1578627931 | Theresa Wallace | Physical Therapist | 8833 Gross Point Rd, Skokie, IL 60077-1859 | 2006-12-20 |
| 1801842091 | Theresa C Wallace | Family Medicine | 95 Madison Ave, Suite 101, Morristown, NJ 07960 | 2006-05-26 |
| Street Address |
2201 1/2 ROSLYN AVE APT 203 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1114532520 | Kimmi Sue Gaffney | Home Health Aide | 7650 Witherspoon Dr Ne, Baltimore, OH 43105-9712 | 2020-09-11 |
| 1962029330 | Tavonia Stackhouse | Home Health Aide | 713 W Pratt St, Baltimore, MD 21201-1023 | 2020-07-01 |
| 1154946200 | Jacqueline Billy | Home Health Aide | 3900 Hillsdale Rd, Baltimore, MD 21207-7643 | 2020-06-15 |
| 1962038562 | Chanceline Ngehbenwi Tibui | Home Health Aide | 1200 Martin Ct, Baltimore, MD 21229-1123 | 2020-03-16 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1467005066 | Sabinus I Akobundu | Home Health Aide | 10 Duke of Windsor Ct Apt T4, Baltimore, MD 21207-5397 | 2019-07-23 |
| 1548820681 | Towanna Simms | Home Health Aide | 3819 Mount Pleasant Ave, Baltimore, MD 21224-2441 | 2019-06-20 |
| 1588223309 | Bornitt T Archer | Home Health Aide | 5400 Bowleys Ln, Baltimore, MD 21206-6941 | 2019-06-06 |
| 1740843275 | Takeya D Miller | Home Health Aide | 420 E 25th St Ste 2e, Baltimore, MD 21218-5304 | 2019-04-19 |
| 1194212167 | Tamisha Lakeisha Murphy | Home Health Aide | 2536 Quantico Ave, Baltimore, MD 21215-7009 | 2018-04-16 |
| Find all providers in BALTIMORE | ||||
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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.