DR. NICOLE MANI WALLACE (NPI# 1366735839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366735839 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MANI WALLACE |
| Credential | D.C. |
| Practice Address |
219 Main St Ste A Pineville NC 28134-7528 |
| Mailing Address |
5005 Camrose Crossing Ln Matthews NC 28104-6822 |
| Practice Telephone | 7044881812 |
| Mailing Telephone | 7044881812 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3786 | NC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821993 | Nicole M. Wallace | Social Worker | 177 Main St Ste 206, Huntington, NY 11743-6917 | 2011-07-15 |
| 1821311606 | Nicole Broadway Wallace | Counselor | 207 Belo Dr, Killeen, TX 76542-5598 | 2010-03-08 |
| 1154820868 | Nicole Janeen Wallace | Counselor | 174 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2018-02-08 |
| 1588964787 | Nicole Wallace | Physical Therapist | 3350 La Jolla Village Drive, San Diego, CA 92161 | 2010-10-22 |
| 1609089028 | Nicole Marie Wallace | Specialist | 913 First Colonial Rd Ste 204, Virginia Beach, VA 23454-3198 | 2007-05-08 |
| 1508889254 | Nicole Wallace | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2006-07-25 |
| Street Address |
219 MAIN ST STE A |
| City | PINEVILLE |
| State | NC |
| Zip Code | 28134-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912274820 | Lissette Holland | Physical Therapist | 219 Main St Ste A, Pineville, NC 28134-7528 | 2011-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144682873 | Mosaic Group, LLC | Community/Behavioral Health | 600 Towne Centre Blvd, Suite 403, Pineville, NC 28134 | 2016-03-22 |
| 1447545298 | Sunanda H Lachake | Pharmacist | 9101 Matthews-pineville Rd, Pineville, NC 28134 | 2011-06-09 |
| 1659663029 | Focal Point Chiropractic Health Center Pllc | Chiropractor | 103 Dover St., Pineville, NC 28134 | 2011-05-04 |
| 1649403577 | Chinyere Genevive Okam | Pharmacist | 11805 Southcrest Lane, Pineville, NC 28134 | 2009-08-26 |
| 1063649010 | Irene N/a D'alessandris | Community Health Worker | 1010 Lake View Dr., Pineville Rehab, Pineville, NC 28134 | 2009-06-17 |
| 1689827487 | Five Star Quality Care- North Carolina, LLC | Alzheimer Center (Dementia Center) | 13180 Dorman Road, Pineville, NC 28134 | 2008-10-24 |
| 1598940637 | Janice S Blocker | Physical Therapy Assistant | 1010 Lakeview Drive, Pineville, NC 28134 | 2008-01-08 |
| 1760603195 | Alisha S Richmond | Speech-Language Pathologist | 10624 Lighthouse Lane, Pineville, NC 28134 | 2007-05-02 |
| 1043374655 | Tiffany Howard | Counselor | 12438 Woodside Falls Road, Pineville, NC 28134 | 2006-12-20 |
| 1003919192 | Joey Scott Hartsell | Chiropractor | 216 Main St., Pineville, NC 28134 | 2006-09-06 |
| Find all providers in zip 28134 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368952 | Kayla Anne Tobey | Chiropractor | 112 Pelican Dr Ste A, Pineville, LA 71360-5372 | 2018-03-01 |
| 1659663029 | Focal Point Chiropractic Health Center Pllc | Chiropractor | 103 Dover St., Pineville, NC 28134 | 2011-05-04 |
| 1780887786 | Adam J Hebert | Chiropractor | 3021 Highway 28 E, Pineville, LA 71360-5718 | 2007-06-07 |
| 1285710624 | Lisa Katheryn Gregory | Chiropractor | 102 E Virginia Ave, Pineville, KY 40977-1671 | 2006-10-28 |
| 1003919192 | Joey Scott Hartsell | Chiropractor | 216 Main St., Pineville, NC 28134 | 2006-09-06 |
| 1538276167 | Cartwright Chiropractic Pa | Chiropractor | 600 Town Centre Blvd Ste 202, Pineville, NC 28134-8473 | 2006-08-23 |
| 1467472266 | Karri Lee Gramlich-mabou | Chiropractor | 2660 Highway 28 E, Pineville, LA 71360-5614 | 2006-07-21 |
| 1649204736 | Wynn Traylor Harvey | Chiropractor | 1319 Donahue Ferry Rd, Pineville, LA 71360-5143 | 2006-07-11 |
| 1578511630 | Denise M Cartwright | Chiropractor | 600 Town Centre Blvd., # 202, Pineville, NC 28134-8473 | 2006-05-04 |
| 1154327070 | Gilbert R Morgan | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856-8204 | 2005-06-24 |
| Find all providers in PINEVILLE | ||||
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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.