ELLEN WALLACE (NPI# 1427685734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427685734 |
| Entity Type | Individual |
| Full Name | ELLEN WALLACE |
| Practice Address |
276 International Cir San Jose CA 95119-1130 |
| Mailing Address |
22 Dustin St Apt 1 Worcester MA 01604-6006 |
| Practice Telephone | 4089726884 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760957872 | Ellen Robertson Wallace | Social Worker | 306 Abbott St, Linden, AL 36748-3022 | 2018-10-05 |
| 1558790956 | Ellen Wallace | Registered Nurse | 6701 N Charles St Ste 2372, Towson, MD 21204-6808 | 2013-11-06 |
| 1700178779 | Ellen Easley Wallace | Dietitian, Registered | 103 Starr Ave Apt 66, Starkville, MS 39759-4058 | 2011-05-10 |
| 1871756957 | Ellen Deanne Wallace | Physical Therapist | 404 Cedar Ct, Winchester, KY 40391-2923 | 2008-07-08 |
| 1477162840 | Ellen Anne Wallace | Speech-Language Pathologist | 1333 N Buffalo Dr Unit 260, Las Vegas, NV 89128-3637 | 2020-07-30 |
| 1720026552 | Ellen C Wallace | Radiology | 55 Lake Ave N, Department of Radiology, Worcester, MA 01655-0002 | 2006-06-03 |
| Street Address |
276 INTERNATIONAL CIR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008208 | Martha Maupin Medlicott | Nurse Practitioner | 276 International Cir, San Jose, CA 95119-1130 | 2005-10-27 |
| 1649807876 | Kevin Phan | Student in an Organized Health Care Education/Training Program | 276 International Cir, San Jose, CA 95119-1130 | 2020-03-26 |
| 1093246373 | Tam Thai | Pharmacist | 276 International Cir, San Jose, CA 95119-1130 | 2017-03-27 |
| 1033596267 | Shequella Garvey | Family Medicine | 276 International Cir, San Jose, CA 95119-1130 | 2015-04-27 |
| 1902224215 | Amy Patel Couturier | Pediatrics | 276 International Cir, San Jose, CA 95119-1130 | 2014-04-03 |
| 1285059063 | Silvia Shin | Family Medicine | 276 International Cir, San Jose, CA 95119-1130 | 2014-03-03 |
| 1114365897 | Camilla Guitarte | Obstetrics & Gynecology | 276 International Cir, San Jose, CA 95119-1130 | 2013-06-04 |
| 1053655431 | Dana Chang | Registered Nurse | 276 International Cir, Unit E, San Jose, CA 95119-1130 | 2012-11-25 |
| 1205194719 | Divya Arnold Reouk | Family Medicine | 276 International Cir, San Jose, CA 95119-1130 | 2012-05-03 |
| 1922277078 | Jin Sae Rhee | Pediatrics | 276 International Cir, Department of Pediatrics, Unit C, San Jose, CA 95119-1130 | 2008-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1750992152 | Jolene Thu Tran | Student in an Organized Health Care Education/Training Program | 2811 Glauser Dr, San Jose, CA 95133-1410 | 2020-08-11 |
| 1588273270 | Kimberly Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 3094 Seafield Ct, San Jose, CA 95148-4044 | 2020-07-28 |
| 1699393884 | Nancy Tang | Student in an Organized Health Care Education/Training Program | 3130 Brightwood Ct, San Jose, CA 95148-2649 | 2020-07-14 |
| 1548884125 | Chelsea Lorraine Barnes | Student in an Organized Health Care Education/Training Program | 1045 Lincoln Ct, San Jose, CA 95125-2638 | 2020-05-30 |
| 1891318705 | Magdalena Cachu-enciso | Student in an Organized Health Care Education/Training Program | 1624 June Ave, San Jose, CA 95122-2211 | 2020-05-26 |
| 1104448729 | Veerali Juthani | Student in an Organized Health Care Education/Training Program | 3920 Braeburn Ct, San Jose, CA 95130-1206 | 2020-05-18 |
| 1811518020 | Thomas Vo | Student in an Organized Health Care Education/Training Program | 3205 San Rivas Dr, San Jose, CA 95148-2037 | 2020-04-28 |
| 1831727130 | Brent Carmona | Student in an Organized Health Care Education/Training Program | 3791 Heppner Ln, San Jose, CA 95136-1506 | 2020-03-31 |
| Find all providers in SAN JOSE | ||||
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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.