TIFFANY R WALLACE


Address: 78 4th Ave Apt 3, Montgomery, WV 25136-2434
Phone: 6819454333

TIFFANY R WALLACE (NPI# 1417563735) 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) 1417563735
Entity Type Individual
Full Name TIFFANY R WALLACE
Practice Address 78 4th Ave Apt 3
Montgomery
WV 25136-2434
Practice Telephone 6819454333
Mailing Telephone 6819454333
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers TIFFANY WALLACE

NPI Name Taxonomy Address Enumeration
1841794914 Tiffany Wallace Occupational Therapy Assistant 1271 Stationside Dr, Oakland, FL 34787-8944 2018-03-22
1184995268 Tiffany Wallace Registered Nurse 584 Thomas S Boyland St, Brooklyn, NY 11212-5044 2012-01-20
1689802662 Tiffany Dawn Wallace Physical Therapist 1717 S Orange Ave Ste 101, Orlando, FL 32806-2946 2009-06-29
1972901825 Tiffany Wallace Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1518264373 Tiffany Astra Wallace Case Manager/Care Coordinator 79 W Alexandrine St, Detroit, MI 48201-2015 2011-02-14
1760586176 Tiffany Lynn Wallace Psychologist 8623 N Wayne Road, Hegira Programs Inc Ste 310, Westland, MI 48185 2006-09-08

Office Location

Street Address 78 4TH AVE APT 3
City MONTGOMERY
State WV
Zip Code 25136-2434

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861618738 Saghir Ur Rehman Mir Orthopaedic Surgery 401 6th Avenue, Suite 302, Montgomery, WV 25136 2007-04-18
1871684324 Montgomery General Hospital, Inc. Skilled Nursing Facility 401 Sixth Avenue, Montgomery, WV 25136 2006-09-28
1124070149 Adin Lim Timbayan General Practice 411 Washington St, Montgomery, WV 25136 2006-05-17
1902350275 Willard Truman Long Jr. Social Worker 410 Ferry St, Montgomery, WV 25136 2016-08-04
1922160787 Adin L Timbayan Md Inc General Practice 411 Washington St, Montgomery, WV 25136 2006-12-15
1245281195 Victoria Santos Timbayan General Practice 411 Washington St, Montgomery, WV 25136 2006-05-15
1295809507 Lou Ann Bowen Anesthesiology 401 6th Ave, Montgomery, WV 25136-0270 2006-11-20
1063591816 Karon Rae Myers Registered Nurse 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 2006-11-03
1467614933 Arpan Kohli Student in an Organized Health Care Education/Training Program 420 3rd Ave, Montgomery, WV 25136-2101 2008-06-26
1437525714 Bio-medical Applications of West Virginia, Inc. Clinic/Center 506 3rd Ave, Montgomery, WV 25136-2102 2015-08-20
Find all providers in zip 25136

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205442050 Patrick J Flanery Technician 1005 1st Ave, Montgomery, WV 25136-2377 2020-09-17
1194336230 Jamie Criner Technician 320 Morris Dr, Montgomery, WV 25136-2335 2020-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295336980 Tricia Carpenter Technician 123 Water St, Spencer, WV 25276-1736 2020-11-08
1922609619 Michael Nakonechny Technician 1443 20th St, Parkersburg, WV 26101-3421 2020-11-08
1942801634 Connie Stewart Technician 64 Cardinal Ln, Glenville, WV 26351-1700 2020-11-08
1215538905 Mary Caplinger Technician 2201 Beverly St, Parkersburg, WV 26101-6814 2020-11-08
1205437993 Rhonda Allman Technician 3118 Harris Hwy, Washington, WV 26181-8709 2020-11-08
1396346086 Danielle Ayers Technician 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 2020-11-08
1649871328 Leah West Technician 132 Miller Dr Apt D, Ripley, WV 25271-1126 2020-11-08
1841891538 Deidra Montgomery Technician 1402 Lake Washington Rd, Washington, WV 26181-8222 2020-11-08
1790386605 Samantha Faye Oscar Technician 279 Roy Dr, Ridgeley, WV 26753-9451 2020-11-06
1235730185 Andrew Lee Fluharty Technician 1222 23rd St, Parkersburg, WV 26101-2702 2020-11-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City MONTGOMERY
Zip Code 25136

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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