SHARON D WALLACE (NPI# 1205478591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205478591 |
| Entity Type | Individual |
| Full Name | SHARON D WALLACE |
| Practice Address |
5455 Almira Dr Ne Bremerton WA 98311-8330 |
| Practice Telephone | 3604155870 |
| Mailing Telephone | 3604155870 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982898540 | Sharon Simara Wallace | Technician, Other | 202 Blossom Ct, Paso Robles, CA 93446-2870 | 2007-08-28 |
| 1629023239 | Sharon K Wallace | Radiology | 70 Doctors' Park, Cape Girardeau, MO 63703 | 2006-05-23 |
| 1326022724 | Sharon Renee Wallace | Family Medicine | 2900 North Loop W Ste 1300, Houston, TX 77092-8815 | 2005-11-30 |
| 1245856616 | Sharon Wallace | Behavior Technician | 33 Perry Ave, Attleboro, MA 02703-2417 | 2020-06-22 |
| 1396398921 | Sharon Louise Wallace | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2019-07-23 |
| 1548658297 | Sharon Wallace | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2015-01-05 |
| 1043468473 | Sharon Denice Wallace | Physical Therapy Assistant | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-27 |
| 1770730202 | Sharon Wallace | Registered Nurse | 103 Washington St, Elmira, NY 14901-3220 | 2008-08-27 |
| 1659562122 | Sharon L Wallace | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2007-08-08 |
| Street Address |
5455 ALMIRA DR NE |
| City | BREMERTON |
| State | WA |
| Zip Code | 98311-8330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447297353 | Brian Gilfeather | Psychiatry & Neurology | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2006-05-31 |
| 1366043606 | Olivia Skibba Clark | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1336740687 | Leonard Michael Cline | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1154922409 | Robin Lee Dixon | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-11-03 |
| 1366042681 | Rebecca Jane Shepard | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-27 |
| 1790385011 | David Whitney Mercereau | Case Manager/Care Coordinator | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-27 |
| 1427657600 | Tina Louise Remillard | Social Worker | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-20 |
| 1124626601 | Rebecca Martin-dean | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-15 |
| 1902403272 | Rose Njoroge | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-08 |
| 1508463464 | Christiana Marie Bueno | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
| 1306495775 | Audra Rose Kuoppala | Chiropractor | 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311 | 2019-09-09 |
| 1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
| 1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
| 1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
| 1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
| 1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
| 1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
| 1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
| 1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
| Find all providers in zip 98311 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141442 | Joshua Anthony Hoskin | Student in an Organized Health Care Education/Training Program | 290 Ne Mcwilliams Ct, Bremerton, WA 98311-2505 | 2018-10-30 |
| 1730676503 | Leslie Pohl | Student in an Organized Health Care Education/Training Program | 3044 Viewcrest Dr Ne, Bremerton, WA 98310-9740 | 2018-04-17 |
| 1811341605 | Khuyen Tran | Student in an Organized Health Care Education/Training Program | 2512 Wheaton Way Ste B, Bremerton, WA 98310-3303 | 2016-04-18 |
| 1053788117 | Amber Lethin | Student in an Organized Health Care Education/Training Program | 1554 Shorewood Dr, Apt B, Bremerton, WA 98312-2323 | 2015-08-25 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| 1124626601 | Rebecca Martin-dean | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-10-15 |
| 1144833112 | Makenzie Noel Good | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-08-28 |
| 1538783154 | Livingston Pfalzgraf Martin | Student in an Organized Health Care Education/Training Program | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2020-05-29 |
| 1548884174 | Robert Thomas Platt | Student in an Organized Health Care Education/Training Program | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2020-05-29 |
| 1114541836 | Kessley Bleu Medina Scott | Student in an Organized Health Care Education/Training Program | 4207 Kitsap Way, Bremerton, WA 98312-2447 | 2020-05-29 |
| Find all providers in BREMERTON | ||||
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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.