MRS. NANCY A WALLACE (NPI# 1194717249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194717249 |
| Entity Type | Individual |
| Full Name | MRS. NANCY A WALLACE |
| Credential | CRNA |
| Practice Address |
4800 S 109th E Ave Tulsa OK 74146 |
| Mailing Address |
Po Box 470191 Tulsa OK 74147-0191 |
| Practice Telephone | 9187422502 |
| Practice Fax Number | 9187459750 |
| Mailing Telephone | 9187422502 |
| Mailing Fax Number | 9187459750 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R0031556 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS | 721545605001 | 01 |
| OK | AETNA | 7592237 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356870521 | Nancy Wallace | Student in an Organized Health Care Education/Training Program | 720 Aliceanna St Fl 2, Baltimore, MD 21202-4387 | 2017-06-09 |
| 1669717211 | Nancy Ann Wallace | Occupational Therapy Assistant | 2909 Friendship Rd, Paragould, AR 72450-7548 | 2012-12-10 |
| 1861645970 | Nancy E Wallace | Social Worker | 230 E 78th St, Ste. 27, New York, NY 10075-2022 | 2008-11-03 |
| 1376983940 | Nancy Wallace | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-06-27 |
| 1124388046 | Nancy K Wallace | Social Worker | 799 S Main St, Lima, OH 45804-1519 | 2012-05-24 |
| 1144341876 | Nancy Smith Wallace | Dentist | 1709 Washington St, Waukegan, IL 60085-5133 | 2007-04-02 |
| 1073613089 | Nancy V Wallace | Nurse Practitioner | 517 W Grace St, Richmond, VA 23220-4911 | 2006-09-22 |
| Street Address |
4800 S 109TH E AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655627 | Union Pines Surgery Center,llc | Clinic/Center | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-10 |
| 1619969797 | Becky R Barnes | Nurse Anesthetist, Certified Registered | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-16 |
| 1720080401 | Sooner Anesthesia Services LLC | Anesthesiology | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-12 |
| 1508868142 | Patricia A Case | Nurse Anesthetist, Certified Registered | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1124473665 | Hernan Aguilos | Nurse Anesthetist, Certified Registered | 1923 S Utica Ave Fl 3, Tulsa, OK 74104-6520 | 2016-05-03 |
| 1740664978 | Ariana King | Nurse Anesthetist, Certified Registered | 1924 S Utica Ave, Tulsa, OK 74104-6510 | 2015-07-17 |
| 1396144580 | Matthew Wayne Milby | Nurse Anesthetist, Certified Registered | 2647 E 20th St, Tulsa, OK 74104-5811 | 2014-08-14 |
| 1831532068 | Lauren Nicole Garrison | Nurse Anesthetist, Certified Registered | 18602 E 50th Pl, Tulsa, OK 74134-7178 | 2013-04-08 |
| 1194001107 | Heather Rae Kendrick | Nurse Anesthetist, Certified Registered | 18103 E 47th St, Tulsa, OK 74134-7413 | 2011-10-24 |
| 1235432956 | Yelena Curtis | Nurse Anesthetist, Certified Registered | 6839 S. Canton Ave., Tulsa, OK 74136 | 2010-12-20 |
| 1609107820 | Kenan James Ryan | Nurse Anesthetist, Certified Registered | 6839 S Canton, Associated Anesthesiologists, Inc., Tulsa, OK 74136-3402 | 2010-01-28 |
| 1801040209 | Muhammad Usman Butt | Nurse Anesthetist, Certified Registered | 4120 S 130th East Ave, Apt # 1113, Tulsa, OK 74134-1132 | 2008-11-12 |
| 1508040924 | Cynthia Reed Hunter | Nurse Anesthetist, Certified Registered | 6947 S Evanston Ave, Tulsa, OK 74136-4512 | 2007-12-20 |
| 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.