REBECCA WALLACE (NPI# 1285980250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285980250 |
| Entity Type | Individual |
| Full Name | REBECCA WALLACE |
| Practice Address |
12 Demarest Rd Chestnut Ridge NY 10977-6517 |
| Practice Telephone | 8453235257 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 310362 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295907079 | Rebecca C Wallace | Acupuncturist | The Well for Integrative Medicine, 114 Main Street, Gloucester, MA 01930 | 2008-04-01 |
| 1902941230 | Rebecca H. Wallace | Registered Nurse | 300 W Mcmurray Blvd, Casa Grande, AZ 85222-3327 | 2007-02-21 |
| 1619050630 | Rebecca Wallace | Occupational Therapist | 1025 Brevard Rd Ste 10, Asheville, NC 28806-8563 | 2006-10-23 |
| 1417564477 | Rebecca Wallace | Counselor | 207 Peach Way, Columbia, MO 65203-4905 | 2020-09-24 |
| 1033765896 | Rebecca Kay Wallace | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-08-16 |
| 1649745027 | Rebecca Wallace | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2018-10-11 |
| 1114472735 | Rebecca M Wallace | Psychologist | 1200 Childrens Ave, Ste 12400, Oklahoma City, OK 73104-4637 | 2016-08-24 |
| 1215243043 | Rebecca Ann Wallace | Social Worker | 4950 Memorial Dr, Houston, TX 77007-7440 | 2010-08-31 |
| 1710156765 | Rebecca Hagood Wallace | Physical Therapist | 405 S Seminole Ave, Minneola, FL 34715-5520 | 2008-02-25 |
| 1912031311 | Rebecca B Wallace | Marriage & Family Therapist | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2007-03-15 |
| Street Address |
12 DEMAREST RD |
| City | CHESTNUT RIDGE |
| State | NY |
| Zip Code | 10977-6517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091805 | Paul Junior Louissaint | Licensed Practical Nurse | 10 Kennedy Dr, F8, Spring Valley, NY 10977 | 2019-06-07 |
| 1861967085 | Dental Art of Ny | Dentist | Dental Art of Ny, 11 Spring Valley Market Place, Spring Valley, NY 10977 | 2018-10-04 |
| 1528543576 | National Vision Inc | Technician/Technologist | 22 Spring Valley Market Place, Spring Valley, NY 10977 | 2018-09-26 |
| 1053891911 | Nury Lisette D'antoni | Registered Nurse | 55 Greenaridge Way, Spring Valley, NY 10977 | 2018-08-20 |
| 1922592393 | Tender Loving Care Speech Therapy Pllc | Early Intervention Provider Agency | 2 Red Oak Lane, Spring Valley, NY 10977 | 2018-06-19 |
| 1528577251 | Sarah Rosenberg | Nurse Practitioner | 728 N. Main St., Spring Valley, NY 10977 | 2017-09-26 |
| 1558885277 | Marquita Natoy Fleming | Licensed Practical Nurse | 45 Ewing Avenue, A5, Spring Valley, NY 10977 | 2017-08-03 |
| 1215458070 | Kesha Coard | Licensed Practical Nurse | 40 South Cole Ave, 4a, Spring Valley, NY 10977 | 2017-07-03 |
| 1982155107 | The New Golden Acres Sp LLC | Assisted Living Facility | 35 Prospect Street, Spring Valley, NY 10977 | 2016-10-24 |
| 1487014510 | Broadway Health Care Staffing Inc. | Home Health | 1 Hillcrest Center, Suite 214, Spring Valley, NY 10977 | 2016-03-02 |
| Find all providers in zip 10977 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1497146385 | Ruth Gertrude Lavalasse | Licensed Practical Nurse | 109 Scotland Hill Rd, Chestnut Ridge, NY 10977-5968 | 2015-02-12 |
| 1205230182 | Cassandra Chery | Licensed Practical Nurse | 31 Eagle St, Chestnut Ridge, NY 10977-6102 | 2014-10-21 |
| 1821343278 | Annick Joseph | Licensed Practical Nurse | 30 Balmoral Dr, Chestnut Ridge, NY 10977-6915 | 2012-07-20 |
| 1043588759 | Carminda Clemente | Licensed Practical Nurse | 27 El Dorado Drive, Chestnut Ridge, NY 10977-6407 | 2011-12-08 |
| 1528360872 | Nathalie M Joseph | Licensed Practical Nurse | 107 Old Nyack Tpke # 2fw, Chestnut Ridge, NY 10977-6003 | 2010-11-18 |
| 1225360571 | Abdullah Halima Giddens | Licensed Practical Nurse | 168 Red Schoolhouse Rd, Chestnut Ridge, NY 10977-7031 | 2010-02-10 |
| 1891302550 | Nicole Jeannine Maikish | Licensed Practical Nurse | 241 Hungry Hollow Rd, Chestnut Ridge, NY 10977-6111 | 2020-09-28 |
| 1750761433 | Arker Joseph | Licensed Practical Nurse | 30 Balmoral Dr, Chestnut Ridge, NY 10977-6915 | 2015-06-08 |
| 1700275393 | Ashra Anteby | Licensed Practical Nurse | 48 Scotland Hill Rd, Chestnut Ridge, NY 10977-5837 | 2015-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT RIDGE |
| Zip Code | 10977 |
Please comment or provide details below to improve the information on REBECCA 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.