MRS. KIMBERLY VERONICA WALLACE (NPI# 1144881640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144881640 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY VERONICA WALLACE |
| Credential | CNM APRN |
| Practice Address |
100 Lillian Gish Blvd Sw Ste 201 Massillon OH 44647-6500 |
| Mailing Address |
3574 Melrose Dr Wooster OH 44691-1857 |
| Practice Telephone | 3308090460 |
| Mailing Telephone | 6143701035 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | APRN.CNM.019392 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 830 S Main St Ste 102, Orrville, OH 446672218 | 3307659104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033457791 | Kimberly Wallace | Physical Therapist | 421 W School House Ln Unit 2, Philadelphia, PA 19144-4557 | 2013-01-30 |
| 1942592340 | Kimberly Wallace | Counselor | 1427 Se 182nd Ave, Portland, OR 97233-5008 | 2011-05-04 |
| 1669794137 | Kimberly Wallace | Registered Nurse | 214 Rosewood Ter, Cheektowaga, NY 14225-3016 | 2010-02-24 |
| 1770627705 | Kimberly Shannon Wallace | Family Medicine | 1438 Defense Hwy Suite 201, Gambrills, MD 21054 | 2007-02-15 |
| 1316413271 | Kimberly Pauline Wallace | Pharmacist | 951 Central St, Franklin, NH 03235-2028 | 2018-10-18 |
| 1942705223 | Kimberly Wallace | Technician | 1312 S 8th St, Las Vegas, NV 89104-1638 | 2018-03-28 |
| 1043713936 | Kimberly Louise Wallace | Registered Nurse | 2040 Babcock Rd Ste 304, San Antonio, TX 78229-4428 | 2018-03-16 |
| 1265969133 | Kimberly Wallace | Registered Nurse | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2017-05-22 |
| 1083091987 | Kimberly Wallace | Counselor | 1944 Brannan Rd, Mcdonough, GA 30253-4310 | 2015-04-29 |
| 1750785622 | Kimberly Wallace | Licensed Practical Nurse | 138 North Court Street, Wampsville, NY 13163 | 2014-10-21 |
| Street Address |
100 LILLIAN GISH BLVD SW STE 201 |
| City | MASSILLON |
| State | OH |
| Zip Code | 44647-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479709 | Nina Marie Wilson | Advanced Practice Midwife | 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647-6500 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215382 | Amanda N Bleigh | Occupational Therapy Assistant | 3046 Beaumont Ave. Nw, Massillon, OH 44647 | 2017-06-15 |
| 1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1801385570 | Morgan Nicolle Clevidence | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2018-05-08 |
| 1811148463 | Lisa Renee Dorland | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2008-10-01 |
| 1427601129 | Kristina D Mcclung | Licensed Practical Nurse | 5233 Revere Ave Nw, Massillon, OH 44647-1231 | 2019-07-22 |
| 1346289782 | Linda Kay Utes-gasber | Licensed Practical Nurse | 4422 Andette Ave Nw, Massillon, OH 44647-1272 | 2006-06-04 |
| 1710315395 | Massillon Cable Tv, Inc | Durable Medical Equipment & Medical Supplies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-10-17 |
| 1598196107 | Massillon Cable Tv Inc | Emergency Response System Companies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-12-06 |
| 1053648816 | Tina Marie Sherlock - Talbott | Nurse's Aide | 9 Country Club Cir Nw, Massillon, OH 44647-5114 | 2009-11-15 |
| Find all providers in zip 44647 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479709 | Nina Marie Wilson | Advanced Practice Midwife | 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647-6500 | 2006-03-01 |
| 1003251935 | Jessica Marie Costa | Advanced Practice Midwife | 123 3rd St Se, Massillon, OH 44646-6606 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605088 | Erica Nicole Lotte | Advanced Practice Midwife | 134 Rolling Acre Dr, Lithopolis, OH 43136-9764 | 2020-10-02 |
| 1336756501 | Leighel Clare Webb | Advanced Practice Midwife | 3189 State Route 229, Ashley, OH 43003-8716 | 2020-09-30 |
| 1134736242 | Emily Jane Leonard | Advanced Practice Midwife | 768 Price Knl, Milford, OH 45150-1430 | 2020-09-23 |
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1154940260 | Olivia Brewer | Advanced Practice Midwife | 2022 Lewis Dr, Lakewood, OH 44107-6124 | 2020-04-09 |
| 1689225294 | Amanda Knittel | Advanced Practice Midwife | 29101 Health Campus Dr Ste 250, Westlake, OH 44145-5277 | 2019-09-25 |
| 1275181109 | Melissa Grace Miller | Advanced Practice Midwife | 2101 Adelbert Rd, Cleveland, OH 44106-2624 | 2019-09-04 |
| 1942798780 | Samantha M Buckholtz | Advanced Practice Midwife | 955 Worton Park Dr, Mayfield Village, OH 44143-3327 | 2018-04-26 |
| 1891203600 | Anna Marie Connair | Advanced Practice Midwife | 832 S Main St Ste 7&8, Orrville, OH 44667-2208 | 2018-01-15 |
| 1669991220 | Laura Allene Schrader | Advanced Practice Midwife | 9176 Winesburg Rd, Mount Eaton, OH 44659-0216 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
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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.