LAUREL E WALLACE (NPI# 1396200101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396200101 |
| Entity Type | Individual |
| Full Name | LAUREL E WALLACE |
| Credential | RN |
| Practice Address |
50 Pleasant St Northampton MA 01060-4127 |
| Mailing Address |
15 Laura Drive Westfield MA 01085 |
| Practice Telephone | 4135846855 |
| Mailing Telephone | 4135622747 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN121600 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225482946 | Laurel Slough Wallace | Family Medicine | 801 Green Valley Rd, Greensboro, NC 27408-7021 | 2016-04-19 |
| Street Address |
50 PLEASANT ST |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433252 | William Eugene Boutelle | Psychiatry & Neurology | 50 Pleasant St, Northampton, MA 01060-3909 | 2005-10-31 |
| 1750996716 | Elyse Audrey Simone Chastain-stultz | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2020-09-15 |
| 1801409735 | Erin J Seibert | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2020-08-29 |
| 1558992263 | Caitlin Bunning | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2020-01-31 |
| 1841835444 | Adam Scott Blackburn | Counselor | 50 Pleasant St, Northampton, MA 01060-4127 | 2019-11-07 |
| 1962046128 | Jared Seth Gottlieb | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2019-10-31 |
| 1306494448 | Miriam L Desgazon | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2019-09-02 |
| 1336793033 | Mara Penatzer | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2019-07-31 |
| 1871147611 | Emily Barr | Social Worker | 50 Pleasant St, Northampton, MA 01060-4127 | 2019-07-30 |
| 1508410937 | Samantha Joy Chu | Psychologist | 50 Pleasant St, Northampton, MA 01060-4127 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| Find all providers in zip 01060 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068104 | Cassandra Paige Miller | Registered Nurse | 8 Atwood Dr Ste 201, Northampton, MA 01060-4266 | 2019-08-14 |
| 1164078291 | Melissa Osborne | Registered Nurse | 8 Atwood Dr Ste 201, Northampton, MA 01060-4266 | 2019-08-14 |
| 1073989299 | Corrina Riley | Registered Nurse | 421 N Main St, Northampton, MA 01060-5300 | 2015-08-12 |
| 1326066515 | John Michael Talbot | Registered Nurse | 50 Pleasant Street, Northampton, MA 01060-1821 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1306459862 | Alycen Gail Palmer | Registered Nurse | 769 Plain St Unit 1, Marshfield, MA 02050-2118 | 2020-08-25 |
| 1609485945 | Geraldei Paul | Registered Nurse | 24 Belmont Ct Apt 9, Brockton, MA 02301-4728 | 2020-07-22 |
| 1952938136 | Douglas Crook | Registered Nurse | 12 Wellington Ave, Haverhill, MA 01830-2729 | 2020-03-26 |
| 1043846942 | Debra Louise Booth | Registered Nurse | 19 Bryant St, Salem, MA 01970-2330 | 2020-03-23 |
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1811521644 | Edith A Barrett | Registered Nurse | 9 Thorndike St, Arlington, MA 02474-8729 | 2020-03-02 |
| 1013553536 | Valerie Witline Louis | Registered Nurse | 9 W Milton St, Hyde Park, MA 02136-1921 | 2019-11-19 |
| 1750927489 | Austin Agbonifo | Registered Nurse | 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 | 2019-11-18 |
| 1083258875 | Hilda Adaeze Epelle | Registered Nurse | 911 River St, Hyde Park, MA 02136-3714 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
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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.