SANDRA V WALLACE (NPI# 1245350172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245350172 |
| Entity Type | Individual |
| Full Name | SANDRA V WALLACE |
| Credential | RN |
| Practice Address |
909 Alameda St Norman OK 73071-5229 |
| Mailing Address |
1628 Oriole Dr Norman OK 73071-6127 |
| Practice Telephone | 4055733909 |
| Practice Fax Number | 4055733966 |
| Mailing Telephone | 4053217610 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R0047895 D636163 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518153295 | Sandra Eugenia Wallace | Massage Therapist | 3627 Acornrun Ln, Spring, TX 77389-4721 | 2007-09-17 |
| 1710910617 | Sandra Marie Wallace | Pharmacist | 4501 Outer Loop, Louisville, KY 40219-3856 | 2006-07-07 |
| 1912273301 | Sandra Marie Wallace | Registered Nurse | 180 7th Ave, Brooklyn, NY 11203 | 2012-03-29 |
| 1811182868 | Sandra Frances Wallace | Licensed Practical Nurse | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2007-09-12 |
| 1235140930 | Sandra Louise Wallace | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2006-08-10 |
| 1093748717 | Sandra J. Wallace | Occupational Therapist | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2006-07-08 |
| Street Address |
909 ALAMEDA ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295708519 | Jack Kenneth Gray Jr. | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2006-02-08 |
| 1861091100 | Traci Winlock | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2020-10-19 |
| 1609483098 | Patricia Ann Smith | Licensed Practical Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2020-09-29 |
| 1265046783 | Christina Ann Seng | Case Manager/Care Coordinator | 909 Alameda St, Norman, OK 73071-5229 | 2020-09-02 |
| 1265044879 | Lori Hughes | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2020-08-17 |
| 1285259556 | Dallas Coke Loffi-lara | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2020-06-12 |
| 1225651995 | Carla Shenice Jones | Case Manager/Care Coordinator | 909 Alameda St, Norman, OK 73071-5229 | 2020-05-28 |
| 1619599693 | Francesca Murch | Counselor | 909 Alameda St, Norman, OK 73071-5229 | 2020-05-12 |
| 1447872650 | Sharon Wengier | Nurse Practitioner | 909 Alameda St, Norman, OK 73071-5229 | 2020-05-11 |
| 1902446313 | Keegan M Kinniburgh | Counselor | 909 Alameda St, Norman, OK 73071-5229 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023509361 | Farahnez Weir-caswell | Registered Nurse | 909 Alameda St Bldg C, Norman, OK 73071-5229 | 2018-05-22 |
| 1356783310 | Patricia Potter | Registered Nurse | 101 Gibbs, Norman, OK 73070-0000 | 2013-07-19 |
| 1508393042 | Traci Dawn Gilley | Registered Nurse | 900 E Main St, Norman, OK 73071-5305 | 2017-05-15 |
| 1851767073 | Jessica Hyepock | Registered Nurse | 101 Gibbs, Norman, OK 73070 | 2015-08-12 |
| 1538581178 | Charley Andrew Posada Jr. | Registered Nurse | 101 Gibbs, Norman, OK 73071-0000 | 2014-01-16 |
| 1629315072 | Tamara Lynn Compton | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2013-01-04 |
| 1154647162 | Jack T Stansell Jr. | Registered Nurse | 900 E Main St, Norman, OK 73071-5305 | 2010-04-15 |
| 1669613741 | Katherine Ann Keller-macy | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2009-03-18 |
| 1124268974 | Teresa Jeann Willis | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2009-03-05 |
| 1184779167 | Susan Lynn Williams | Registered Nurse | 900 E Main St, 52-200, Norman, OK 73071-5305 | 2007-01-23 |
| Find all providers in NORMAN | ||||
Please comment or provide details below to improve the information on SANDRA V WALLACE.
| 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.