KYLE WILSON WALLACE (NPI# 1124641394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124641394 |
| Entity Type | Individual |
| Full Name | KYLE WILSON WALLACE |
| Credential | RN |
| Practice Address |
1715 Indian Wood Cir Ste 200 Maumee OH 43537-4055 |
| Mailing Address |
4737 Sadalia Rd Toledo OH 43623-2965 |
| Practice Telephone | 9373032710 |
| Mailing Telephone | 7347317476 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.423738 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205258258 | Kyle Wallace | Registered Nurse | 1928 Schenectady Ave, Brooklyn, NY 11234-3121 | 2014-01-10 |
| Street Address |
1715 INDIAN WOOD CIR STE 200 |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467492173 | Geriatric Psychiatric Services Pllc | Psychologist | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2006-06-08 |
| 1619584687 | Debra A Wilkins | Home Health | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2020-09-24 |
| 1316598816 | Aloha Nutrition and Wellness | Dietitian, Registered | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2019-09-25 |
| 1114486628 | Jeffrey Kistler Lpcc LLC | Counselor | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2019-03-14 |
| 1821562216 | Amanda Vanhorne | Counselor | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2019-01-18 |
| 1366914954 | Stephanie Heinlein | Dietitian, Registered | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537 | 2018-12-20 |
| 1326558313 | Monique Chatman | Technician | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2017-10-04 |
| 1104271196 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2016-04-27 |
| 1518240571 | Tiffany L Brown | Nurse Practitioner | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2011-09-26 |
| 1366756330 | Regional Physician Services of Ohio PC | Nurse Practitioner | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2010-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| 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 |
|---|---|---|---|---|
| 1225431000 | Wendy Wehrmeister | Registered Nurse | 7364 Coder Rd, Maumee, OH 43537-9756 | 2014-10-07 |
| 1285865790 | Carmen L Reid | Registered Nurse | 6055 Fallen Timbers Ln, Maumee, OH 43537-9359 | 2009-07-31 |
| 1659307536 | Nadine Marie Dlugas | Registered Nurse | 1068 Craig Rd, Maumee, OH 43537-3007 | 2006-06-23 |
| 1538169792 | Tim B Osullivan | Registered Nurse | 4444 Gregory Dr, Maumee, OH 43537-1822 | 2005-07-28 |
| 1699381368 | Sara Bailey | Registered Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-09-18 |
| 1083222533 | Sarah Robinson | Registered Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2020-07-21 |
| 1073006656 | Ryan Mcfann | Registered Nurse | 1757 Indian Wood Cir, Maumee, OH 43537-4009 | 2018-06-08 |
| 1639445661 | Rose O Omofoma | Registered Nurse | 3455 Boulder Ridge Dr, Maumee, OH 43537-9462 | 2012-03-23 |
| 1144592957 | Jean Ellen Humason Adams | Registered Nurse | 5901 Monclova Rd, Maumee, OH 43537-1841 | 2012-02-09 |
| 1891075339 | Christina Lynn Dunlap | Registered Nurse | 3600 Briarfield Blvd, Maumee, OH 43537-8919 | 2011-08-27 |
| Find all providers in MAUMEE | ||||
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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.