HEATHER MARIE WALLACE (NPI# 1275075400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275075400 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE WALLACE |
| Credential | NP |
| Practice Address |
1870 Amherst St Ste C Winchester VA 22601-2841 |
| Mailing Address |
220 Campus Blvd Ste 100 Winchester VA 22601-2888 |
| Practice Telephone | 5405360110 |
| Practice Fax Number | 5405360135 |
| Mailing Telephone | 5405365100 |
| Mailing Fax Number | 5405360235 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174206 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568934362 | Heather Wallace | Licensed Practical Nurse | 16615 130th Ave, Rodney, MI 49342-9707 | 2018-12-19 |
| 1407329204 | Heather Ann Wallace | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2019-01-04 |
| 1962993634 | Heather Elizabeth Wallace | Nurse Practitioner | 1879 Savage Rd, Charleston, SC 29407-4726 | 2018-05-29 |
| 1053856427 | Heather E Wallace | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2016-12-21 |
| 1821342106 | Heather A Wallace | Physician Assistant | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2012-11-07 |
| 1316227051 | Heather Freeman Wallace | Pharmacist | 715 W Trade St, Dallas, NC 28034-1544 | 2011-08-25 |
| 1295027274 | Heather Wallace | Registered Nurse | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2011-05-09 |
| 1437369865 | Heather Wallace | Counselor | Chdd Columbia Rd, Box 357920 Room 205, Seattle, WA 98195-7920 | 2007-05-23 |
| 1336173574 | Heather Morgan Wallace | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-07-11 |
| Street Address |
1870 AMHERST ST STE C |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215609 | James S Wiedower | Surgery | 1870 Amherst St Ste C, Winchester, VA 22601-2841 | 2005-09-12 |
| 1396126330 | Bailey O'bannon | Physician Assistant | 1870 Amherst St Ste C, Winchester, VA 22601-2841 | 2015-06-16 |
| 1356785604 | Alexander Michael Johnston | Surgery | 1870 Amherst St Ste C, Winchester, VA 22601-2841 | 2013-04-17 |
| 1962502385 | John James Walker | Physician Assistant | 1870 Amherst St Ste C, Winchester, VA 22601-2841 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794090 | Sarah-jane Gruber | Nurse Practitioner | 905 Cedar Creek Grade Ste 102, Winchester, VA 22601-7100 | 2020-09-14 |
| 1902417835 | Tara Beth Cruse | Nurse Practitioner | 5100 Combs Ferry Rd, Winchester, KY 40391-8082 | 2020-08-13 |
| 1639702616 | Anna Stewart | Nurse Practitioner | 219 Stine Ln, Winchester, VA 22603-5413 | 2020-02-18 |
| 1154953065 | Julie Varney | Nurse Practitioner | 119 Union View Ln, Winchester, VA 22603-3342 | 2020-02-08 |
| 1295379410 | April Dunaway | Nurse Practitioner | 403 Harney Dr, Winchester, KY 40391-9740 | 2019-10-30 |
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1205484722 | Rachel Wynne Ziemke | Nurse Practitioner | 160 Merchant St, Winchester, VA 22603-4772 | 2019-08-28 |
| 1174177224 | Anna Morrison | Nurse Practitioner | 480 Bullion Blvd, Winchester, KY 40391-2933 | 2019-07-27 |
| 1285292581 | Heather Ann Hyden | Nurse Practitioner | 183 Hospital Rd Ste A, Winchester, TN 37398-2471 | 2019-05-31 |
| 1679035851 | Michelle Katherine Bull | Nurse Practitioner | 908 S Jefferson St, Winchester, TN 37398-2132 | 2019-04-04 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
Please comment or provide details below to improve the information on HEATHER MARIE 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.