STEPHANIE E WALLACE (NPI# 1427534718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427534718 |
| Entity Type | Individual |
| Full Name | STEPHANIE E WALLACE |
| Credential | CRNA |
| Practice Address |
200 Mercy Circle Camp Pendleton CA 92055 |
| Mailing Address |
Po Box 555191 Camp Pendleton CA 92055-5191 |
| Practice Telephone | 7607194970 |
| Mailing Telephone | 7607194970 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R225183 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
| 1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
| 1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
| 1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
| 1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
| 1033533617 | Stephanie Wallace | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2014-02-18 |
| Street Address |
200 MERCY CIRCLE |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649255415 | Wayne Thomas Murphy | Preventive Medicine | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2005-12-14 |
| 1679172621 | James Darko Ofori | Military Health Care Provider | 200 Mercy Circle, Pharmacy Department, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1194354662 | Melissa Bruebaker | Military Health Care Provider | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2020-04-06 |
| 1891322269 | Pierce Derico | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2020-03-25 |
| 1871120774 | Rebeca Arias | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2020-03-23 |
| 1871128710 | Angela Christine Lacey | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2020-03-11 |
| 1447800727 | David Singleton | Dentist | 200 Mercy Circle, Camp Pendleton, CA 92055-6527 | 2019-09-18 |
| 1689233470 | Bryce Allen Bowers | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2019-06-06 |
| 1629636477 | Nikolas Brien Gutierrez | General Practice | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2019-06-05 |
| 1518525369 | Elizabeth Helen Shields | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619398443 | Elisabeth Holmes | Nurse Anesthetist, Certified Registered | H200 Mercy Cir., Camp Pendleton, CA 92055-5191 | 2013-12-20 |
| 1235198946 | Teresa Marie Garza | Nurse Anesthetist, Certified Registered | Co Naval Hospital, Box 555191, Camp Pendleton, CA 92055-5191 | 2006-03-21 |
| 1164863692 | Elizabeth Ann Aban | Nurse Anesthetist, Certified Registered | Building H100 Santa Margarita Road, Naval Hospital Camp Pendlton, Camp Pendleton, CA 92055 | 2013-07-12 |
| 1861519340 | Robert Donald Polley Jr. | Nurse Anesthetist, Certified Registered | Naval Hospital Camp Pendleton, H100 Santa Margarita Road Attention Code 094, Camp Pendleton, CA 92055-5191 | 2007-03-22 |
| 1477538346 | Joseph Vernon Koshiol | Nurse Anesthetist, Certified Registered | Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2005-12-13 |
| 1679575120 | Robert Joseph Tursi | Nurse Anesthetist, Certified Registered | Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055-5191 | 2005-08-15 |
| 1891797783 | Amanda Glada Sierra | Nurse Anesthetist, Certified Registered | Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055-5191 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687395 | Anesthesia First, Inc | Nurse Anesthetist, Certified Registered | 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 | 2020-10-23 |
| 1659970580 | Twilight Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 1247 W Bloomwood Rd, Rancho Palos Verdes, CA 90275-1937 | 2020-10-21 |
| 1881201432 | Edc Anesthesia Nursing PC | Nurse Anesthetist, Certified Registered | 72301 Country Club Drive, Suite 101, Rancho Mirage, CA 92270-8007 | 2020-09-28 |
| 1720697501 | Elizabeth Diane Doty | Nurse Anesthetist, Certified Registered | 235 N Conejo School Rd Apt 116, Thousand Oaks, CA 91362-2676 | 2020-07-28 |
| 1447868013 | Matthew Shirts | Nurse Anesthetist, Certified Registered | 6713 E Princeton Ave, Fresno, CA 93727-1441 | 2020-07-20 |
| 1730797705 | Ryan James Tobin | Nurse Anesthetist, Certified Registered | 1786 El Paso Ave, Clovis, CA 93611-6601 | 2020-07-16 |
| 1922626167 | Ileana Lopez | Nurse Anesthetist, Certified Registered | 388 E Ocean Blvd Unit 702, Long Beach, CA 90802-5264 | 2020-07-13 |
| 1154946085 | Brianna Koty | Nurse Anesthetist, Certified Registered | 1611 Greenwood Ave, Torrance, CA 90503-6134 | 2020-06-16 |
| 1962025973 | Franesei Crna A Nursing Corporation Inc | Nurse Anesthetist, Certified Registered | 2601 W Alameda Ave Ste 312, Burbank, CA 91505-4812 | 2020-05-26 |
| 1144858028 | Dennis Casanova Colon | Nurse Anesthetist, Certified Registered | 547 E Weldon Ave, Fresno, CA 93704-6031 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | CAMP PENDLETON |
| Zip Code | 92055 |
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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.