RACHEL WALLACE (NPI# 1538717814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538717814 |
| Entity Type | Individual |
| Full Name | RACHEL WALLACE |
| Credential | NP |
| Practice Address |
13802 Lake Point Cir Ste 102 Louisville KY 40223-4219 |
| Mailing Address |
607 Washburn Ave Louisville KY 40222-4727 |
| Practice Telephone | 5022454450 |
| Mailing Telephone | 5023106117 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1148737 | KY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013781 | KY | Physician Assistants & Advanced Practice Nursing 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 |
| 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 |
| 1447462270 | Rachel L Wallace | Specialist/Technologist | 801 Medical Dr, Lima, OH 45804-4099 | 2007-05-04 |
| Street Address |
13802 LAKE POINT CIR STE 102 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386619203 | James Robert Wharton | Dermatology | 13802 Lake Point Cir Ste 102, Louisville, KY 40223-4219 | 2006-02-22 |
| 1396872685 | James R Wharton Md Psc | Dermatology | 13802 Lake Point Cir Ste 102, Louisville, KY 40223-4219 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on RACHEL 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.