JACLYN WALLACE (NPI# 1497947568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497947568 |
| Entity Type | Individual |
| Full Name | JACLYN WALLACE |
| Practice Address |
900 23rd St Nw Washington DC 20037-2342 |
| Mailing Address |
2336 N Quantico St Arlington VA 22205-2000 |
| Practice Telephone | 2027155277 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 0119004536 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | DC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467953091 | Jaclyn Ann Wallace | Health Educator | 7800 W Outer Dr Ste 203, Detroit, MI 48235-3459 | 2018-02-28 |
| 1326572801 | Jaclyn Renee Wallace | Nurse Practitioner | 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2017-04-12 |
| Street Address |
900 23RD ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20037-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376366 | Patricia G Roberts | Internal Medicine | 900 23rd St Nw, Washington, DC 20037-2342 | 2005-06-17 |
| 1255943486 | Jennifer Makhoul | Internal Medicine | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-08-19 |
| 1912517756 | District Hospital Partners Lp | Nurse Practitioner | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-08-06 |
| 1558971689 | Joel Matthew Hagstrom | Physician Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-08-04 |
| 1083223598 | Michael Mangiapani | Anesthesiologist Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-07-30 |
| 1972120533 | Yasir Hussein | Emergency Medicine | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-06-30 |
| 1548886161 | Jordan Thatcher | Registered Nurse | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-06-19 |
| 1164047361 | Samuel Nwani Nnadi | Nurse Practitioner | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-06-12 |
| 1720608631 | Amanda Marie Johnson | Physician Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-04-21 |
| 1992324255 | Janice George Maliakkal | Student in an Organized Health Care Education/Training Program | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1477173326 | Lisa Kate Eitches | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associ, 2150 Pennsylvania Ave, Nw, Washington, DC 20037 | 2020-04-21 |
| 1992280044 | Aakshit Goyal | Student in an Organized Health Care Education/Training Program | The George Washington University Hospital, 900, 23 Rd Street, Washington, DC 20037 | 2018-09-25 |
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1003392689 | Eugenie Atallah | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associates 2150 Pennsylvania Ave, 2150 Pennsylvania Avenue, Nw, Washington, DC 20037 | 2018-07-17 |
| 1033637541 | Brianna Bachelle Eliades | Physical Medicine & Rehabilitation | 2175 K Street, Nw, C120, Washington, DC 20037 | 2017-09-05 |
| 1376067967 | Candace Mary Willett | Pediatrics | 2440 M St Nw Ste 205, Washington, DC 20037 | 2017-07-26 |
| 1982125894 | Fransisca Indraswari | Student in an Organized Health Care Education/Training Program | The George Washington Medical Faculty Associates, 2150 Pennsylvania Avenue Nw, Washington, DC 20037 | 2017-06-30 |
| 1750816021 | Mohammed Alsaggaf | Student in an Organized Health Care Education/Training Program | 900 23rd St Nw, Washington, Dc 20037, Usa, Washington, DC 20037 | 2017-04-25 |
| 1053868802 | Nicolle Denise Cooley | Speech-Language Pathologist | 2600 Virginia Avenue Nw, Suite #900, Washington, DC 20037 | 2016-09-08 |
| Find all providers in zip 20037 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1841801982 | Queeny Brown | Occupational Therapist | 5100 Connecticut Ave Nw Apt 205, Washington, DC 20008-2052 | 2020-08-12 |
| 1932719846 | Eric Ryan Wehmhoefer | Occupational Therapist | 1680 E Sandhill Dr, Washington, UT 84780-8308 | 2020-08-05 |
| 1619585627 | Samantha Tobon | Occupational Therapist | 4900 Mass Ave Nw Ste 340, Washington, DC 20016-4358 | 2020-07-15 |
| 1609402122 | Kaitlin Lillywhite | Occupational Therapist | 2500 41st St Nw, Washington, DC 20007-1257 | 2020-03-16 |
| 1407487366 | Legacy Healthcare Services Inc. | Occupational Therapist | 1481 Marbach Dr, Washington, MO 63090-4636 | 2020-01-30 |
| 1982256616 | Mary Ola Glasgow | Occupational Therapist | 3700 N Capitol St Nw # B, Washington, DC 20011-8400 | 2019-07-12 |
| 1114579182 | Alethea Merelos | Occupational Therapist | 102 Irving St Nw Ste 2330, Washington, DC 20010-2921 | 2019-07-10 |
| 1609436831 | Claire Bernadette Luck | Occupational Therapist | 4540 Dubois Creek Ln, Washington, MO 63090-6156 | 2019-06-19 |
| 1639733363 | Karen Horowitz | Occupational Therapist | 2400 Virginia Ave Nw Apt C4200, Washington, DC 20037-2612 | 2019-04-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20037 |
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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.