MS. ANGELA M WALLACE (NPI# 1073584652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073584652 |
Entity Type | Individual |
Full Name | MS. ANGELA M WALLACE |
Other Name | MS. ANGELA R MASSEY |
Credential | NP |
Practice Address |
9300 Dewitt Loop Dept Of Ft Belvoir VA 22060-5285 |
Mailing Address |
9300 Dewitt Loop Dept Of Fort Belvoir VA 22060-5285 |
Practice Telephone | 5712311015 |
Mailing Telephone | 5712311015 |
Enumeration Date | 2006-01-31 |
Last Update Date | 2018-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
0024093871 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417435819 | Angela Wallace | Counselor | 11222 Tesson Ferry Rd Ste 100, Saint Louis, MO 63123-6963 | 2018-07-30 |
1417452731 | Angela Kathleen Wallace | Marriage & Family Therapist | 554 S San Vicente Blvd Ste 200, Los Angeles, CA 90048-4651 | 2018-03-28 |
1750884631 | Angela M Wallace | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2018-03-16 |
1114204450 | Angela D Wallace | Counselor | 101 N Union Ave, Shawnee, OK 74801-7067 | 2011-11-15 |
1255510848 | Angela Darlene Wallace | Anesthesiology | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2007-10-31 |
1295849081 | Angela D. Wallace | Day Training/Habilitation Specialist | 140 Hospital Dr, South Williamson, KY 41503-4022 | 2006-08-18 |
Street Address |
9300 DEWITT LOOP DEPT OF |
City | FT BELVOIR |
State | VA |
Zip Code | 22060-5285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649610494 | Cody Dickson | Anesthesiology | 9300 Dewitt Loop Dept Of, Ft Belvoir, VA 22060-5285 | 2013-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447780317 | Elizabeth Joy Bier | Family Medicine | Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2017-06-14 |
1518413723 | Meredith Rae Cuddy | Social Worker | 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 | 2016-08-28 |
1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
1972940450 | Deepa Ramanathan Elion | Clinical Neuropsychologist | 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 | 2013-05-24 |
1861837643 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 | 2013-05-07 |
1609150820 | Brittany Rodriguez | Physical Therapist | 9300 Belvoir Rd, Fort Belvoir, VA 22060 | 2011-10-06 |
1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
1518291442 | Stacie Erin Thomas | Speech-Language Pathologist | 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-09-24 |
1033347125 | David Michael Hanrahan | Psychiatry & Neurology | 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-06-26 |
1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
Find all providers in zip 22060 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174949507 | Karen Root | Nurse Practitioner | 1215 Lee St Fl 7, Charlottesville, VA 22908-0816 | 2014-03-10 |
1417191826 | Kimberly Donlon | Nurse Practitioner | 13702 Beechwood Point Rd, Midlothian, VA 23112-2529 | 2009-04-29 |
1437368420 | Marnie Smith Longest | Nurse Practitioner | 4819 Coleman Rd, Richmond, VA 23230-2505 | 2007-05-22 |
1235155227 | Cynthia Schieck | Nurse Practitioner | 13124 Lauren Ln, Midlothian, VA 23114-3160 | 2006-07-14 |
1174122535 | Kristen Marie Atkins | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-18 |
1760091052 | Sarah Putnam Curry | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-07-23 |
1609492727 | Kathryn Baker Moore | Nurse Practitioner | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-06-24 |
1467098574 | Blair Conrad Driver | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2019-11-24 |
1467003483 | Veronica Cory | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2019-09-20 |
1427606714 | Kierstin Hays | Nurse Practitioner | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-08-29 |
Find all providers with the same taxonomy |
City | FT BELVOIR |
Zip Code | 22060 |
Please comment or provide details below to improve the information on MS. ANGELA M 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.