MR. JOSHUA TAYLOR WALLACE (NPI# 1376042168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376042168 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA TAYLOR WALLACE |
| Credential | APRN |
| Practice Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Mailing Address |
273 Cinel Loop Austin AR 72007-8790 |
| Practice Telephone | 5016868000 |
| Practice Fax Number | 5015262000 |
| Mailing Telephone | 8706921906 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A005500 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005500 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 Shepherd Dr, Searcy, AR 721436873 | 5012686831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1306259833 | Joshua Wallace | Radiology | 101 Manning Drive Cb 7510, Chapel Hill, NC 27599-8905 | 2014-06-02 |
| 1124326343 | Joshua Wallace | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2011-03-11 |
| Street Address |
4301 W MARKHAM ST # 783 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960194 | Dennis E Mcdonnell | Neurological Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2005-05-27 |
| 1255931226 | Satya Narayana Patro | Radiology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-10-29 |
| 1962019182 | Houston Cotton | Physician Assistant | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-30 |
| 1144836495 | Andrea Barnes | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-22 |
| 1053927012 | Abigail E Nichols | Advanced Practice Midwife | 4301 W Markham St # 783, Little Rock, AR 72205-7199 | 2020-09-16 |
| 1629682653 | Christina Mantione | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-09-08 |
| 1467065250 | Christina Louise Rone | Registered Nurse | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1700499506 | Asjia Johnson | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-31 |
| 1982215968 | Brooke Kathlen Lea | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-08-12 |
| 1003424243 | Rachel Sloan | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003196 | Allison Mcpeak | Nurse Practitioner | 10800 Financial Centre Pkwy Ste 380, Little Rock, AR 72211-3508 | 2020-08-11 |
| 1316556632 | Pamela Volner | Nurse Practitioner | 4 Shackleford Plz Ste 202, Little Rock, AR 72211-1844 | 2020-07-23 |
| 1528676764 | Katherine Dunigan | Nurse Practitioner | 11 White Oak Ln, Little Rock, AR 72207-2549 | 2020-07-14 |
| 1679198287 | Marilyn Anne Johnson-mcfarland | Nurse Practitioner | 1 Saint Vincent Cir Ste 440, Little Rock, AR 72205-5492 | 2020-06-09 |
| 1174160089 | Natalie Cobb | Nurse Practitioner | 10 Courts Dr, Little Rock, AR 72223-9021 | 2019-12-10 |
| 1609410232 | Rachel Nicole Mccrary | Nurse Practitioner | 108 N Shackleford Rd, Little Rock, AR 72211-2840 | 2019-11-06 |
| 1093361347 | Whitney Lashell Johnson | Nurse Practitioner | 15 Stonebridge Cir Apt 1536, Little Rock, AR 72223-4550 | 2019-08-13 |
| 1780230375 | Krystal Collins | Nurse Practitioner | 9800 Baptist Health Dr Ste 600, Little Rock, AR 72205-6244 | 2019-08-10 |
| 1659932994 | Judith Chinwe Spencer-cole | Nurse Practitioner | 2 Waters Edge Dr, Little Rock, AR 72204-8645 | 2019-06-27 |
| 1063971935 | Sara Mannis | Nurse Practitioner | 1816 Gamble Rd, Little Rock, AR 72211-4196 | 2019-03-19 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MR. JOSHUA TAYLOR 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.