GISELLE TISHA WALLACE (NPI# 1326596321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326596321 |
| Entity Type | Individual |
| Full Name | GISELLE TISHA WALLACE |
| Credential | CNA |
| Practice Address |
5809 W Rice Chgo IL 60651 |
| Mailing Address |
5809 W Rice Chicago IL 60651 |
| Practice Telephone | 7735735347 |
| Mailing Telephone | 7735735347 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | IL | Nursing Service Related Providers |
| Street Address |
5809 W RICE |
| City | CHGO |
| State | IL |
| Zip Code | 60651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
| 1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
| 1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
| 1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
| 1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
| 1740438613 | Association House of Chicago | Clinic/Center | 1116 N. Kedzie, Chicago, IL 60651 | 2008-09-04 |
| Find all providers in zip 60651 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1851992622 | Destinee Lathon | Nurse's Aide | 1731 Fairmont Dr, Springfield, IL 62702-2927 | 2020-11-06 |
| 1831798313 | Marcella Ann Cochran | Nurse's Aide | 2418 6th Ave, Moline, IL 61265-1539 | 2020-10-26 |
| 1700485802 | Kiara Walker | Nurse's Aide | 914 S Greenlawn Ave, Peoria, IL 61605-3573 | 2020-10-20 |
| 1780290874 | Clara D Nixon | Nurse's Aide | 6539 S Bell Ave, Chicago, IL 60636-2529 | 2020-09-23 |
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1215542790 | Monique Diene Davis | Nurse's Aide | 11837 S Princeton Ave, Chicago, IL 60628-6011 | 2020-09-11 |
| 1568076636 | Xyavia Geigel | Nurse's Aide | 3206 Western Ave, Park Forest, IL 60466-1805 | 2020-09-04 |
| 1093328031 | Sophie Ann Tootelian | Nurse's Aide | 8334 N Waddams Grove Rd, Lena, IL 61048-9750 | 2020-08-28 |
| 1144830985 | Nancy Olivares | Nurse's Aide | 2608 N Moody Ave, Chicago, IL 60639-1024 | 2020-08-06 |
| 1417572678 | Ladonna Ann Williams | Nurse's Aide | 1688 Clifford St, Glendale Heights, IL 60139-2001 | 2020-06-13 |
| Find all providers with the same taxonomy | ||||
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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.