MELISSA ANN WALLACE


Address: 1060 Gaffney Rd, #7440 Commander, Usa Meddac-ak, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001
Phone: 9073535418

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 18147 AK Nursing Service Providers

Other Providers MELISSA WALLACE

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

Office Location

Street Address 1060 GAFFNEY RD
#7440 COMMANDER, USA MEDDAC-AK, ATTN: MCUC-MMD-QM
City FORT WAINWRIGHT
State AK
Zip Code 99703-5001

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT WAINWRIGHT
Zip Code 99703

Improve Information

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Dataset Information

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.

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