MS. NIKKI WALLACE (NPI# 1396161030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396161030 |
| Entity Type | Individual |
| Full Name | MS. NIKKI WALLACE |
| Credential | LPN |
| Practice Address |
3982 S Fordham Pl Cincinnati OH 45213-2329 |
| Practice Telephone | 5132642637 |
| Mailing Telephone | 5132642637 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 150310 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104875459 | Nikki L Wallace | Nurse Anesthetist, Certified Registered | 110 29th Ave N Ste 202, Nashville, TN 37203-1448 | 2006-05-06 |
| Street Address |
3982 S FORDHAM PL |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45213-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853126 | Samuel Mitchell | Orthotist | 5820 Ridge Ave, Cincinnati, OH 45213 | 2020-05-26 |
| 1730643545 | Kevin Daniel Thomas | Occupational Therapy Assistant | 1779 Glendale Milford Rd., Cincinnati, OH 45213 | 2019-01-25 |
| 1083123202 | Brittny Smoot | Massage Therapist | 6419 Montgomery Rd Apt B7, Cincinnati, OH 45213 | 2017-09-20 |
| 1790050706 | Alonzo Jones | Home Health Aide | 753 E Epworth Ave, Cincinnati, OH 45213 | 2012-03-09 |
| 1295964005 | Brays Genensis Elder Care | Registered Nurse | 3251 Highland Ave., Suite 100, Cincinnati, OH 45213 | 2009-07-14 |
| 1518100718 | Anne Louise Housholder | Dermatology | 3590 Lucille Drive, Cincinnati, OH 45213 | 2009-04-17 |
| 1679724637 | Ada C Poole | Licensed Practical Nurse | 3575 Skyveiw Lane, Cincinnati, OH 45213 | 2008-10-08 |
| 1548390719 | Deborah Susan Wirth-barnes | Pharmacist | 3204 Highland Avenue, Cincinnati, OH 45213 | 2007-03-06 |
| 1720133408 | Dana Karl Bateman | Dentist | 6526 Montgomery Rd, Cincinnati, OH 45213 | 2007-01-24 |
| 1609980630 | Mary Lynn Griswold | Psychologist | 3185 Dot Drive, Cincinnati, OH 45213 | 2006-08-18 |
| Find all providers in zip 45213 | ||||
| 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 |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1194332304 | Ebony G Porter | Licensed Practical Nurse | 10324 Moonflower Ct, Cincinnati, OH 45251-1105 | 2020-09-30 |
| 1427663525 | Marcia Trimble | Licensed Practical Nurse | 7860 Sequoia Ct, Cincinnati, OH 45239-4531 | 2020-09-15 |
| 1104431212 | Alona R King | Licensed Practical Nurse | 2347 Hiddenmeadows Dr, Cincinnati, OH 45231-1400 | 2020-09-15 |
| 1407461718 | Alexandra Younger | Licensed Practical Nurse | 1730 Beacon St Apt 4, Cincinnati, OH 45230-2033 | 2020-09-14 |
| 1801400098 | Princie Dunn | Licensed Practical Nurse | 1705 Norcol Ln, Cincinnati, OH 45231-5225 | 2020-09-03 |
| 1568074235 | Lakeda Thomas | Licensed Practical Nurse | 3028 Kerper Ave, Cincinnati, OH 45206-1034 | 2020-08-23 |
| 1902418528 | Lakisha Griffin | Licensed Practical Nurse | 124 Baker Ave, Cincinnati, OH 45217-1245 | 2020-08-17 |
| 1891306841 | D'angela A Barnes | Licensed Practical Nurse | 804 Considine Ave, Cincinnati, OH 45205-2338 | 2020-08-13 |
| 1063022721 | Ashley Foster | Licensed Practical Nurse | 6393 Oakcreek Dr, Cincinnati, OH 45247-5004 | 2020-08-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45213 |
Please comment or provide details below to improve the information on MS. NIKKI 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.