MS. SYLVIA FAE WALLACE (NPI# 1366652364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366652364 |
Entity Type | Individual |
Full Name | MS. SYLVIA FAE WALLACE |
Credential | APRN, BC |
Practice Address |
1575 Santa Barbara Blvd The Villages FL 32159-6820 |
Mailing Address |
1020 Lake Sumter Lndg The Villages FL 32162-2699 |
Practice Telephone | 3526741740 |
Practice Fax Number | 3526748940 |
Mailing Telephone | 3526748820 |
Mailing Fax Number | 3526748919 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2018-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN1957902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104882612 | Sylvia S. Wallace | Counselor | 315 N Cedar St, Lincolnton, NC 28092-2802 | 2006-04-24 |
1902392293 | Sylvia Wallace | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-10 |
Street Address |
1575 SANTA BARBARA BLVD |
City | THE VILLAGES |
State | FL |
Zip Code | 32159-6820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497756878 | Frank James Melidona | Family Medicine | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2005-08-09 |
1770131351 | Jamie R Glover | Registered Nurse | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2019-08-28 |
1124674379 | Penelope Schley | Hearing Instrument Specialist | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2019-08-14 |
1083183826 | Sierra C Heptner | Physician Assistant | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2018-11-23 |
1801386867 | Olukemi Ayoola Dada | Nurse Practitioner | 1575 Santa Barbara Blvd, The Villages, FL 32159 | 2018-05-15 |
1437514536 | Kristen M Curtis | Dietitian, Registered | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2015-12-16 |
1508295700 | Riddhi Patel | Physician Assistant | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2013-11-07 |
1891048922 | Brooke Ashley Leever | Psychologist | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2012-10-26 |
1063709012 | Kimberly W Giovannelli | Family Medicine | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2011-06-28 |
1477611200 | Renee Caroline Tapasak | Psychologist | 1575 Santa Barbara Blvd, The Villages, FL 32159-6820 | 2006-12-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
Find all providers in zip 32159 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619446739 | Noureen Dhanani | Nurse Practitioner | 3201 Wedgewood Ln, The Villages, FL 32162-7116 | 2018-11-19 |
1669942926 | Suzan Crosby Phillips | Nurse Practitioner | 1400 N Us Highway 441 Ste 531, The Villages, FL 32159-8985 | 2018-11-29 |
1992231021 | Rani Marie Powierza | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2017-05-10 |
1609091438 | Christina Marie Landeck | Nurse Practitioner | 631 Allenwood Loop, The Villages, FL 32162-1004 | 2007-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
Find all providers with the same taxonomy |
City | THE VILLAGES |
Zip Code | 32159 |
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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.