MELISSA ANN WALLACE (NPI# 1396723664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396723664 |
| Entity Type | Individual |
| Full Name | MELISSA ANN WALLACE |
| Credential | RN, CHE |
| Practice Address |
1060 Gaffney Rd #7440 Commander, Usa Meddac-ak, Attn: Mcuc-mmd-qm Fort Wainwright AK 99703-5001 |
| Mailing Address |
1060 Gaffney Rd. #7440 Commander, Usa Meddac-ak, Attn: Mcuc-mmd-qm Fort Wainwright AK 99703-7440 |
| Practice Telephone | 9073535418 |
| Practice Fax Number | 9073534845 |
| Mailing Telephone | 9073535418 |
| Mailing Fax Number | 9073534845 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 18147 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271243 | Melissa Wallace | Physical Therapy Assistant | 3685 Mcconnells Hwy W, Sharon, SC 29742-5710 | 2017-05-11 |
| 1841656311 | Melissa Emily Wallace | Social Worker | 1014 S Florida Ave Fl 2, Lakeland, FL 33803-1130 | 2016-01-13 |
| 1285903955 | Melissa Wallace | Physical Therapist | 582 Hwy 365 Ste 3, Mayflower, AR 72106 | 2011-12-23 |
| 1619267101 | Melissa Wallace | Massage Therapist | 161 Cactus Ct, Louisville, KY 40229-3109 | 2011-04-18 |
| 1972068278 | Melissa S Wallace | Licensed Practical Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2019-01-31 |
| 1881189181 | Melissa Sue Wallace | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2018-06-28 |
| 1023524501 | Melissa Ann Wallace | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2017-12-20 |
| 1538609110 | Melissa Wallace | Case Manager/Care Coordinator | 1124 College Dr, Rock Springs, WY 82901-5863 | 2017-03-02 |
| 1538607767 | Melissa Wallace | Counselor | 841 Riverside Dr, Suite B, Augusta, ME 04330-8302 | 2017-02-08 |
| 1366804064 | Melissa Wallace | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2016-03-22 |
| Street Address |
1060 GAFFNEY RD #7440 COMMANDER, USA MEDDAC-AK, ATTN: MCUC-MMD-QM |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191192 | Elizabeth Ann Mittelstaedt | Registered Nurse | 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001 | 2005-11-15 |
| 1952858615 | Patrick Degen Bushman | Physician Assistant | 1060 Gaffney Rd, #7440, Fort Wainwright, AK 99703-5002 | 2016-09-09 |
| 1043764939 | Laurence Preston Keim | Physician Assistant | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-08-08 |
| 1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
| 1700235546 | Tyler Tubbs | Dental Assistant | 1060 Gaffney Rd, 1055, Fort Wainwright, AK 99703-5002 | 2016-06-10 |
| 1285037796 | Tina Syfert | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2014-09-29 |
| 1841617586 | Keng Yu Chen | Dentist | 1060 Gaffney Rd, #7500, Fort Wainwright, AK 99703-5001 | 2014-03-19 |
| 1831539378 | Laina Gay Cafego | Family Medicine | 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 | 2013-06-28 |
| 1467890798 | Jennifer Myaeng | Pediatrics | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-06-09 |
| 1598100745 | Andrea Christina Knievel | General Practice | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1790756781 | Carolyn Sue Adkins | Registered Nurse | 1060 Gaffney Road #7450, Attn: Mcuc-pm-oh, Fort Wainwright, AK 99703-7450 | 2006-01-30 |
| 1316918550 | Steven Anthony Mcneill | Registered Nurse | Hq, Us Army Meddac, Fort Wainwright, AK 99703-7400 | 2006-01-27 |
| 1033191192 | Elizabeth Ann Mittelstaedt | Registered Nurse | 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001 | 2005-11-15 |
| 1235677717 | Ashley Lynn Bain | Registered Nurse | 4076 Neely Road, Fort Wainwright, AK 99703 | 2017-02-06 |
| 1700858339 | Patricia Ann Olson | Registered Nurse | 1060 Gaffney Rd, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001 | 2006-02-07 |
| 1700856481 | Karen Anne Fell | Registered Nurse | 1060 Gaffney Rd #7440, Bassett Army Community Hospital, Fort Wainwright, AK 99703-7440 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969766 | Amber Rand | Registered Nurse | 2857 Alaska Hwy Rm 210, Delta Junction, AK 99737 | 2020-10-12 |
| 1912514316 | Vanessa Shanahan | Registered Nurse | 44332 Sterling Hwy Ste 42, Soldotna, AK 99669-8065 | 2020-09-29 |
| 1467077842 | Annie Marie Garay | Registered Nurse | 195 E Bunnell Ave # C, Homer, AK 99603-7844 | 2020-06-11 |
| 1972128718 | Mayte Fekete | Registered Nurse | 840 Pickering Dr, Fairbanks, AK 99709-5775 | 2020-06-08 |
| 1215559711 | Bronson Brito | Registered Nurse | Public Health Center 7-115 Main St E, Dillingham, AK 99676 | 2020-05-07 |
| 1477174241 | Ashley Krimmel | Registered Nurse | 1018 E Rezanof Dr Apt A, Kodiak, AK 99615-6417 | 2020-05-02 |
| 1285267930 | Angela C Clark | Registered Nurse | 18548 S Kanaga Loop, Eagle River, AK 99577-8675 | 2020-02-20 |
| 1487286647 | Katianna Juanita Carson | Registered Nurse | 2409 Mcrae Rd Lot 18, Anchorage, AK 99517-2593 | 2020-02-06 |
| 1487284741 | Kirt J Beck | Registered Nurse | 11548 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2020-01-24 |
| 1720634629 | Cameron Bjorn Erickson | Registered Nurse | Juneau Public Health Center, 3412 Glacier Highway, Juneau, AK 99801 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
Please comment or provide details below to improve the information on MELISSA ANN 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.