MRS. RACHEL L WALLACE (NPI# 1447462270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447462270 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL L WALLACE |
| Credential | ATC |
| Practice Address |
801 Medical Dr Lima OH 45804-4099 |
| Mailing Address |
2950 N Thayer Rd Lima OH 45801-9770 |
| Practice Telephone | 4192226622 |
| Practice Fax Number | 4192224069 |
| Mailing Telephone | 4192247660 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000841 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386829 | Rachel Myrah Wallace | Student in an Organized Health Care Education/Training Program | 185 Doby Rd, Cameron, NC 28326-8185 | 2020-11-04 |
| 1033602131 | Rachel Morgan Wallace | Student in an Organized Health Care Education/Training Program | Primary Health Network, 737 Greenville Rd, Building One, Mercer, PA 16137 | 2018-06-13 |
| 1841704640 | Rachel Wallace | Counselor | 5234 W St Rt 63, Lebanon, OH 45036-8202 | 2017-12-01 |
| 1518578863 | Rachel Wallace | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-08-11 |
| 1912534363 | Rachel Wallace | Counselor | 3 Cardinal Ln, Newton, NJ 07860-1454 | 2020-03-25 |
| 1912556309 | Rachel Wallace | Nurse Practitioner | 2060 Carlisle Rd, Aspers, PA 17304-9707 | 2019-09-09 |
| 1538717814 | Rachel Wallace | Registered Nurse | 13802 Lake Point Cir Ste 102, Louisville, KY 40223-4219 | 2019-08-29 |
| 1598270894 | Rachel Wallace | Speech-Language Pathologist | 121 E 30th St, New York, NY 10016-7302 | 2017-12-08 |
| 1568989788 | Rachel Ann Wallace | Counselor | 210 Pacific Ave N, Kelso, WA 98626-3414 | 2017-08-28 |
| 1669719175 | Rachel Renee Wallace | Nurse Anesthetist, Certified Registered | 1311 N Mildred Rd, Cortez, CO 81321 | 2013-01-04 |
| Street Address |
801 MEDICAL DR |
| City | LIMA |
| State | OH |
| Zip Code | 45804-4099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974730 | Faye Michelle Imm | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4099 | 2005-07-05 |
| 1619416070 | Courtney Heitmeyer | Nurse Practitioner | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2017-02-17 |
| 1275072639 | Emily Maupin | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2017-02-17 |
| 1285170878 | Kathryn Rode | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2017-01-06 |
| 1346790243 | Alexis Diglio | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2016-10-04 |
| 1073972600 | Troy Warnecke | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2016-02-10 |
| 1982062519 | Danielle Breece | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2016-02-10 |
| 1649655853 | Jason Michael Loyer | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2015-07-29 |
| 1235521642 | Caitlin Logan | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2015-02-22 |
| 1467843193 | Kyle Anderson | Physician Assistant | 801 Medical Dr, Suite A, Lima, OH 45804-4031 | 2015-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306398359 | Cory Lee | Specialist/Technologist | 2700 Slabtown Rd, Lima, OH 45801-2224 | 2016-10-25 |
| 1568822112 | Kaitlyn Waltz | Specialist/Technologist | 6919 Spencerville Rd, Lima, OH 45806-9347 | 2016-02-24 |
| 1750749685 | Raven Phelps | Specialist/Technologist | 180 S Thayer Rd, Lima, OH 45806-9235 | 2016-02-06 |
| 1437528882 | Teaira Foster | Specialist/Technologist | 690 E Hume Rd, Lima, OH 45806 | 2015-09-16 |
| 1295167369 | Jaclyn M Pachuta | Specialist/Technologist | 1475 Edgewood Dr, Apt. I-8, Lima, OH 45805-1057 | 2013-07-31 |
| 1700223997 | Anna Lynne Whitney | Specialist/Technologist | 4270 Fort Amanda Rd, Lima, OH 45805-4090 | 2013-05-28 |
| 1760745327 | Jeanne Hilvers | Specialist/Technologist | 345 S Elizabeth St, Lima, OH 45801-4805 | 2012-06-19 |
| 1487811246 | Tom Lane IIi | Specialist/Technologist | 1475 Edgewoo Drive, Apt 4b, Lima, OH 45805 | 2008-05-20 |
| 1205048014 | Wesley William Howe | Specialist/Technologist | 2850 Bible Rd, Lima, OH 45801-2242 | 2007-05-04 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in LIMA | ||||
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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.