ASHLEY L WALLACE (NPI# 1194227744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194227744 |
| Entity Type | Individual |
| Full Name | ASHLEY L WALLACE |
| Credential | RN |
| Practice Address |
8801 S 101st East Ave Tulsa OK 74133 |
| Mailing Address |
1620 E Pasadena St Broken Arrow OK 74011-5106 |
| Practice Telephone | 9182944281 |
| Mailing Telephone | 9186910195 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 80320 | OK | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06180461 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1620 E Pasadena St, Broken Arrow, OK 740115106 | 9186910195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639669757 | Ashley Wallace | Massage Therapist | 106 Lake Boone Trl Ste B, Raleigh, NC 27608-1052 | 2018-05-14 |
| 1861895203 | Ashley Wallace | Licensed Practical Nurse | 29615 Hanover Blvd, Westland, MI 48186-5179 | 2014-09-30 |
| 1548410863 | Ashley Smith Wallace | Nurse Practitioner | Duke University Hospital South, 200 Trent Drive-clinic 2d, Durham, NC 27710-0001 | 2008-09-23 |
| 1912552035 | Ashley Wailes Wallace | Physical Therapist | 3292 E Willow St, Signal Hill, CA 90755-2309 | 2019-08-06 |
| 1679133573 | Ashley Lynette Wallace | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2019-06-13 |
| 1972070068 | Ashley Lynne Wallace | Occupational Therapy Assistant | 1000 Us Highway 82 E, Sherman, TX 75090-1704 | 2018-10-27 |
| 1942719612 | Ashley Wallace | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2017-09-26 |
| 1417466236 | Ashley Wallace | Dentist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2017-09-25 |
| 1770951394 | Ashley Kathleen Wallace | Behavioral Analyst | 11 Huron Dr, Natick, MA 01760-1336 | 2015-09-14 |
| 1699157099 | Ashley Wallace | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2015-06-22 |
| Street Address |
8801 S 101ST EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509727 | Wayne Joseph Gartner | Nurse Anesthetist, Certified Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2005-06-27 |
| 1932727047 | Ashley Rae Flowers | Student in an Organized Health Care Education/Training Program | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2020-07-07 |
| 1023669694 | Heather Nicole Chase | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-09-25 |
| 1194285825 | Kerri Francis | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-03-20 |
| 1174034003 | Teresa Kathryn Hundley | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-10-18 |
| 1043751241 | Mallory Crutchfield | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-20 |
| 1548701949 | Jennifer T Watkins | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-17 |
| 1013456326 | Ahs Southcrest Hospital, LLC | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-02-20 |
| 1124564075 | Emily Hutchinson | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-01-17 |
| 1902263270 | Carl Jackson | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2016-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1235742941 | Emily Christine Cobbs | Nurse Practitioner | 5740 E 29th St, Tulsa, OK 74114-6408 | 2020-08-24 |
| 1184234742 | Jenni Rigney | Nurse Practitioner | 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 | 2020-08-07 |
| 1477163087 | Amy Marie Thomas | Nurse Practitioner | 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 | 2020-08-07 |
| 1225653512 | Channel Johnson | Nurse Practitioner | 766 N Zenith Ave, Tulsa, OK 74127-5232 | 2020-06-11 |
| 1326663857 | Bethany Lemley | Nurse Practitioner | 1217 S Atlanta Pl, Tulsa, OK 74104-4310 | 2020-06-10 |
| 1952939340 | Kairie Swift | Nurse Practitioner | 3321 S Yale Ave, Tulsa, OK 74135-8011 | 2020-03-31 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1871126573 | Chelsea Allen | Nurse Practitioner | 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 | 2020-02-20 |
| 1982255352 | Crystal L Gazda | Nurse Practitioner | 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 | 2019-09-26 |
| Find all providers in TULSA | ||||
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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.