DIANA KAY WALLACE (NPI# 1457433146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457433146 |
| Entity Type | Individual |
| Full Name | DIANA KAY WALLACE |
| Credential | L.I.M.H.P. |
| Practice Address |
518 S Jeffers St Ste 7 North Platte NE 69101-5370 |
| Practice Telephone | 3082212141 |
| Practice Fax Number | 3082212141 |
| Mailing Telephone | 3082212141 |
| Mailing Fax Number | 3082212141 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 700 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
583 | NE | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 265 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025816000 | 05 | |
| NE | BLUE CROSS BLUE SHIELD OF NEBRASKA | 82473 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669859849 | Diana Wallace | Occupational Therapist | 1207 N 33rd St, Renton, WA 98056-1943 | 2015-04-27 |
| 1497837645 | Diana Lynn Wallace | Dietitian, Registered | 8086 S Yale Ave, Ste. 184, Tulsa, OK 74136-9003 | 2006-10-19 |
| 1710993845 | Diana Renee Wallace | Obstetrics & Gynecology | 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 | 2006-07-31 |
| 1336145432 | Diana Wallace | Social Worker | 1 Nunn Dr, University Center, Suite 440, Newport, KY 41099-0002 | 2005-06-23 |
| 1790027852 | Diana Tyson Wallace | Counselor | 3737 Lander Rd, Cleveland, OH 44124-5712 | 2013-03-26 |
| Street Address |
518 S JEFFERS ST STE 7 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841518933 | Abide In Hope Counseling LLC | Counselor | 518 S Jeffers St Ste 7, North Platte, NE 69101-5370 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306378757 | Mary F Rieken | Counselor | 611 W Francis St Ste 220, North Platte, NE 69101-0614 | 2017-04-03 |
| 1134589583 | Heather Rathjen | Counselor | 120 N Dewey St, North Platte, NE 69101-5438 | 2016-02-27 |
| 1558784264 | Expressive Arts Nebraska, LLC | Counselor | 105 1/2 W D St, North Platte, NE 69101-5342 | 2014-01-31 |
| 1902239643 | Julie Ellen Forrester | Counselor | 106 W D St, North Platte, NE 69101-5341 | 2013-08-16 |
| 1942543228 | Sarah Walgren | Counselor | 121 N Dewey St Ste 201, North Platte, NE 69101-3943 | 2013-04-04 |
| 1376804856 | Vicki R Lawton | Counselor | 1305 S Willow St, North Platte, NE 69101-6011 | 2012-05-31 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1255620167 | Cs Counseling, LLC | Counselor | 109 E 2nd St Ste 10, North Platte, NE 69101-5474 | 2011-03-31 |
| 1073810602 | Karen L Gutherless | Counselor | 401 W Walker Rd, North Platte, NE 69101-7837 | 2011-02-17 |
| 1558564468 | Bradley Morse | Counselor | 318 E B St, North Platte, NE 69101-4047 | 2007-06-07 |
| Find all providers in NORTH PLATTE | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
Please comment or provide details below to improve the information on DIANA KAY WALLACE.
| 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.