LINDA M. WALLACE (NPI# 1184694473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184694473 |
| Entity Type | Individual |
| Full Name | LINDA M. WALLACE |
| Credential | CCC-A |
| Practice Address |
1611 Cambridge St Cambridge MA 02138-4302 |
| Mailing Address |
133 Brookline Ave Boston MA 02215-3904 |
| Practice Telephone | 6176615525 |
| Mailing Telephone | 6174215984 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 388 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | AD0161 | 01 |
| MA | CIGNA | B501027 | 01 |
| MA | 5103053 | 05 | |
| MA | HARVARD PILGRIM | PJ183 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0014863 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225124167 | Linda Wallace | Specialist | 1835 Kinghighway, Washington Park, IL 62204 | 2006-10-05 |
| 1326538745 | Linda Marie Wallace | Registered Nurse | 18650 Nw Cornell Rd Ste 215, Hillsboro, OR 97124-9212 | 2018-05-10 |
| 1588029847 | Linda Wallace | Social Worker | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-12-30 |
| 1659795441 | Linda Wallace | Physical Therapy Assistant | 5601 Hatchery Rd, Waterford, MI 48329-3451 | 2014-02-13 |
| 1184802787 | Linda W Wallace | Physical Therapist | 11740 Columbia St, Blakely, GA 39823-2574 | 2008-02-06 |
| Street Address |
1611 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747412 | Margaret Rose Barsam | Pediatrics | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2005-11-16 |
| 1295218501 | Seema Mitesh Patel | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-09-12 |
| 1104311737 | Maura Jean Dipietro | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-06-26 |
| 1841678299 | Atrius Health, Inc. | Chiropractor | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2015-05-18 |
| 1851725246 | Natalie Ann Briggs | Physical Therapist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2013-08-21 |
| 1437494267 | Clarence Theodore Dennis | Nurse Practitioner | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-12-05 |
| 1043561616 | Bronwyn Kate Mastrangelo | Physician Assistant | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-24 |
| 1821347865 | Kathryn Marie Kahn | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-06 |
| 1316295801 | Jacqueline Marie Burke | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-08-15 |
| 1821373671 | David Johnson | Nurse Practitioner | 1611 Cambridge St, Harvard Vanguard Medical Associates, Bh Dept., Cambridge, MA 02138-4302 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891907457 | Lednum's Jewelers, Inc. | Audiologist | 525 Poplar St, Lednum Building, Cambridge, MD 21613-1833 | 2007-05-04 |
| 1619014537 | Avada of Central Ohio, Inc. | Audiologist | 141 S 11th St, Cambridge, OH 43725-2464 | 2007-01-31 |
| 1194816413 | Josephine Zelma Helmbrecht | Audiologist | 237 Sw 2nd Ave, Ste 230, Cambridge, MN 55008-1500 | 2006-09-28 |
| 1043271562 | Charles Noble Lednum IIi | Audiologist | 400 Maryland Ave Ste 1, Cambridge, MD 21613-1928 | 2006-04-01 |
| 1386284628 | Sarah Marie Schraufnagel | Audiologist | 140 Buchanan St N Ste 150, Cambridge, MN 55008-1640 | 2020-01-15 |
| 1801267042 | Lednum Hearing Centers, LLC | Audiologist | 400 Maryland Ave Ste 1, Cambridge, MD 21613-1928 | 2015-10-14 |
| 1154693745 | Susan Marie Holden | Audiologist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2012-01-30 |
| 1942592928 | Spirit River Audiology LLC | Audiologist | 237 2nd Ave Sw, #230, Cambridge, MN 55008-1536 | 2011-05-09 |
| 1992975973 | President & Fellows of Harvard College | Audiologist | 75 Mount Auburn St, Cambridge, MA 02138-4960 | 2008-03-06 |
| 1396955787 | Audiology Group | Audiologist | 725 Concord Ave, # 2300, Cambridge, MA 02138 | 2007-05-23 |
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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.