LAURA ANNE WALLACE


Address: 920 W Broadway St, Hobbs, NM 88240-5529
Phone: 5753933168

LAURA ANNE WALLACE (NPI# 1417566910) 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) 1417566910
Entity Type Individual
Full Name LAURA ANNE WALLACE
Practice Address 920 W Broadway St
Hobbs
NM 88240-5529
Mailing Address Po Box 907
Hobbs
NM 88241-0907
Practice Telephone 5753933168
Mailing Telephone 5753933168
Enumeration Date 2020-07-30
Last Update Date 2020-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers LAURA WALLACE

NPI Name Taxonomy Address Enumeration
1932721701 Laura Wallace Behavioral Analyst 925 Roxburgh Ave, Rock Hill, SC 29732-5505 2020-05-14
1841859576 Laura A Wallace Technician 242 37th St Se Apt 11, Washington, DC 20019-3161 2019-06-06
1679047005 Laura J Wallace Advanced Practice Midwife 115 Eagle Spring Dr Ste A200, Stockbridge, GA 30281-6486 2019-01-18
1699271080 Laura L Wallace Licensed Practical Nurse 2518 Portage Grove Ct, Wooster, OH 44691-1975 2018-04-04
1003140062 Laura L Wallace Registered Nurse 3425 Sw Kimstin Cir, Blue Springs, MO 64015-4579 2009-09-23
1659515013 Laura Beth Wallace Marriage & Family Therapist 3430 Sw 320th St Ste D2, Federal Way, WA 98023-2292 2009-04-28
1841619848 Laura Jean Wallace Pediatrics 8600 Nicollet Ave S, Bloomington, MN 55420-2824 2014-04-08
1457698920 Laura Ann Wallace Physical Therapist 2900 Hawkins Dr, Searcy, AR 72143-4802 2013-01-03
1407119779 Laura Wallace Emergency Medicine 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 2012-06-20
1265737753 Laura Ann Wallace Nurse Practitioner 1445 Us Highway 51 Byp E, Dyersburg, TN 38024-2127 2011-01-14

Office Location

Street Address 920 W BROADWAY ST
City HOBBS
State NM
Zip Code 88240-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889805 Donald R Davis Counselor 920 W Broadway St, Hobbs, NM 88240-5529 2005-05-23
1376159459 Misty D Nolan Social Worker 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-23
1841806288 Bonnie R Fletcher Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-21
1992310015 Mallory Clare Carver Behavior Technician 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-15
1437764404 Patrick R Vigil Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-15
1144835075 Staci Lynn Altman Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-08
1891309795 Jonnasha Le'aan Banks Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-08
1922612712 John W Dunlap Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-08-31
1093325466 Lisa A Mcgruder Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2020-07-31
1700495322 Stephendanell E Stroud Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2020-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225676430 Dma Professional Services, LLC Dentist Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 2019-12-18
1366930380 Nor-lea Hospital District Clinic/Center 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 2018-04-25
1427553668 Ahrang Lee Pharmacist 1225 North Turner, Hobbs, NM 88240 2018-03-29
1881100907 George E. Jossell Pharmacist 5419 N Lovington Highway, Hobbs, NM 88240 2017-12-27
1912445495 Brittany Briseno Social Worker 615 West Broadway, Suite 2, Hobbs, NM 88240 2017-02-06
1780122291 Valerie Kleespies Social Worker 215 West Broadway Street, Suite 2, Hobbs, NM 88240 2017-02-03
1841693082 Cecillia Anna Espinoza Counselor 215 W. Broadway N#1, Hobbs, NM 88240 2014-10-02
1982020814 Jennifer Pyeatt Pharmacist 715 W Bender, Hobbs, NM 88240 2014-03-17
1952738627 Carlos Alberto Revelo Internal Medicine 3028 N Grimes St, Hobbs, NM 88240 2013-09-26
1710232665 Border Dental Billing LLC Dentist Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 2012-07-17
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497085781 Jessica Sepulveda Case Manager/Care Coordinator 920 West Broadway, Guidance Center of Lea County, Hobbs, NM 88240 2010-01-08
1841806288 Bonnie R Fletcher Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-21
1437764404 Patrick R Vigil Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-15
1144835075 Staci Lynn Altman Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-08
1891309795 Jonnasha Le'aan Banks Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-08
1922612712 John W Dunlap Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-08-31
1912516006 Yolanda Lynn Holt Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-07-24
1326664434 Juliet-danielle Leslie Lane Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-06-24
1821612714 Cody Paul Brock Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-06-05
1366089799 Thais Mackey Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2019-12-04
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Competitor

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City HOBBS
Zip Code 88240

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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