KIMBERLY WALLACE (NPI# 1265969133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265969133 |
| Entity Type | Individual |
| Full Name | KIMBERLY WALLACE |
| Practice Address |
3400 Bainbridge Ave Bronx NY 10467-2404 |
| Mailing Address |
4330 Ely Ave Bronx NY 10466-1816 |
| Practice Telephone | 9174505763 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 731730-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033457791 | Kimberly Wallace | Physical Therapist | 421 W School House Ln Unit 2, Philadelphia, PA 19144-4557 | 2013-01-30 |
| 1942592340 | Kimberly Wallace | Counselor | 1427 Se 182nd Ave, Portland, OR 97233-5008 | 2011-05-04 |
| 1669794137 | Kimberly Wallace | Registered Nurse | 214 Rosewood Ter, Cheektowaga, NY 14225-3016 | 2010-02-24 |
| 1770627705 | Kimberly Shannon Wallace | Family Medicine | 1438 Defense Hwy Suite 201, Gambrills, MD 21054 | 2007-02-15 |
| 1144881640 | Kimberly Veronica Wallace | Advanced Practice Midwife | 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647-6500 | 2019-06-25 |
| 1316413271 | Kimberly Pauline Wallace | Pharmacist | 951 Central St, Franklin, NH 03235-2028 | 2018-10-18 |
| 1942705223 | Kimberly Wallace | Technician | 1312 S 8th St, Las Vegas, NV 89104-1638 | 2018-03-28 |
| 1043713936 | Kimberly Louise Wallace | Registered Nurse | 2040 Babcock Rd Ste 304, San Antonio, TX 78229-4428 | 2018-03-16 |
| 1083091987 | Kimberly Wallace | Counselor | 1944 Brannan Rd, Mcdonough, GA 30253-4310 | 2015-04-29 |
| 1750785622 | Kimberly Wallace | Licensed Practical Nurse | 138 North Court Street, Wampsville, NY 13163 | 2014-10-21 |
| Street Address |
3400 BAINBRIDGE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183656 | Peter Shamamian | Surgery | 3400 Bainbridge Ave, 4th Floor, Bronx, NY 10467-2404 | 2005-09-08 |
| 1538714449 | Jeff Philip | Physician Assistant | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2019-08-07 |
| 1366006660 | Virginia Hong | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2019-04-23 |
| 1376028514 | Brittani Lanae Turner | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-10-02 |
| 1881179802 | Olsjon Shperdheja | Physician Assistant | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-09-25 |
| 1881170595 | Ida Rampersad | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-07-16 |
| 1265937890 | Araceli Estrada-ortega | Dietitian, Registered | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-03-26 |
| 1124570528 | Andrea Feghali | Nurse Practitioner | 3400 Bainbridge Ave, 3rd Floor, Bronx, NY 10467-2404 | 2016-11-01 |
| 1902356207 | Rachel Lindsay Miller | Physician Assistant | 3400 Bainbridge Ave, Floor 3, Bronx, NY 10467-2404 | 2016-10-11 |
| 1972057818 | Hilary Azubuike Okitia | Health Educator | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2016-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1821699141 | Lena Vernon | Registered Nurse | 2949 Bouck Ave, Bronx, NY 10469-5210 | 2020-11-03 |
| 1184224016 | Clarissa Santos | Registered Nurse | 1730 Fowler Ave, Bronx, NY 10462-4027 | 2020-10-29 |
| 1851991897 | Orandy J Diaz | Registered Nurse | 3000 Kingsbridge Ave Apt 4f, Bronx, NY 10463-5109 | 2020-10-29 |
| 1770183998 | O'brien Awuah | Registered Nurse | 120 Erskine Pl Apt 9c, Bronx, NY 10475-5724 | 2020-10-27 |
| 1053910588 | Ayanna Riley | Registered Nurse | 1315 Sheridan Ave Apt 42a, Bronx, NY 10456-1337 | 2020-10-26 |
| 1114525854 | Edeline Schneiderman | Registered Nurse | 5430 Netherland Ave Apt C51, Bronx, NY 10471-2540 | 2020-10-14 |
| 1750998308 | Josephine Abena Nkansah | Registered Nurse | 3338 Fort Independence St, Bronx, NY 10463-4502 | 2020-09-28 |
| 1700493657 | Natalia Smirnova | Registered Nurse | 2108 Lafayette Ave, Bronx, NY 10473-1314 | 2020-09-24 |
| 1457964694 | Isabel Villaester | Registered Nurse | 2741 Eastchester Rd, Bronx, NY 10469-5922 | 2020-08-27 |
| Find all providers in BRONX | ||||
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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.