MICHELLE MARIE WALLACE I (NPI# 1598884272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598884272 |
Entity Type | Individual |
Full Name | MICHELLE MARIE WALLACE I |
Credential | R.N. |
Practice Address |
17887 State Route 58 Wellington OH 44090-9464 |
Practice Telephone | 4408643984 |
Practice Fax Number | 4407742184 |
Mailing Telephone | 4408643984 |
Mailing Fax Number | 4407742184 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
295117 | OH | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2259041 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770051252 | Michelle Wallace | Technician | 1515 Sumac Rd, Fort Gibson, OK 74434-7512 | 2018-11-02 |
1437524196 | Michelle Wallace | Physical Therapist | 473 Auxier Dr, Cincinnati, OH 45244-2364 | 2015-12-07 |
1497091805 | Michelle Lynn Wallace | Specialist | 508 Blair Blvd, Eugene, OR 97402-4630 | 2012-12-13 |
1477808947 | Michelle Wallace | Physical Medicine & Rehabilitation | 75 Norman Pl, Tenafly, NJ 07670-2537 | 2012-07-19 |
1336796374 | Michelle Wallace | Counselor | 369 Ne Revere Ave Ste 101, Bend, OR 97701-4082 | 2019-08-23 |
1316471790 | Michelle Dianne Wallace | Nurse Practitioner | 8970 S Meridian St, Indianapolis, IN 46217-5031 | 2017-04-12 |
1972044519 | Michelle D Wallace | Durable Medical Equipment & Medical Supplies | 9701 Apollo Dr Ste 100, Largo, MD 20774-4785 | 2017-03-15 |
1275938185 | Michelle Mayer Wallace | Pharmacist | 2413 Highway 431 North, Anniston, AL 36206 | 2014-11-04 |
1912249822 | Michelle M Wallace | Physical Therapist | 2300 Trenton Rd, Levittown, PA 19056-1423 | 2013-03-19 |
1609136266 | Michelle Wallace | Social Worker | 245 E 19th St, Apt. 12f, New York, NY 10003-2639 | 2012-05-16 |
Street Address |
17887 STATE ROUTE 58 |
City | WELLINGTON |
State | OH |
Zip Code | 44090-9464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174052567 | Kelly Lynne Keith | Registered Nurse | 121 W Herrick Ave, Wellington, OH 44090 | 2017-06-08 |
1104214964 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 101 Weber Court, Wellington, OH 44090 | 2015-01-02 |
1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
1790943538 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 103-110 Weber Ct, Wellington, OH 44090 | 2008-05-29 |
1144488099 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 101 Weber Ct, Wellington, OH 44090 | 2008-05-28 |
1942407937 | Stephanie L Conrad | Physical Therapist | 110 Herrick Ave. West, Suite B, Wellington, OH 44090 | 2007-07-02 |
1033210935 | Laura Jean Pall Devengencie | Dentist | 406 West Herrick Avenue, Wellington, OH 44090 | 2006-09-26 |
1518565100 | Merle Perry Simmons | Homemaker | 345 Prospect St, Wellington, OH 44090 | 2020-10-15 |
1518993864 | Discount Drug Mart Inc | Pharmacy | 814 N Main St, Wellington, OH 44090-1000 | 2006-06-25 |
1336465418 | Lori Renee Waite | Licensed Practical Nurse | 214 Jones St, Wellington, OH 44090-1025 | 2010-04-14 |
Find all providers in zip 44090 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871127373 | Deon Treseata Clarke | Registered Nurse | 2216 Balsan Way, Wellington, FL 33414-6434 | 2020-02-24 |
1093378622 | Maylin Paez | Registered Nurse | 12247 Brisbane Ln, Wellington, FL 33414-5533 | 2019-04-18 |
1386973238 | Stephanie Larae Saunders | Registered Nurse | 45300 Cemetery Rd, Wellington, OH 44090-9515 | 2009-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326649310 | Tashana Sterling Williamson | Registered Nurse | 501 Nye St, Lima, OH 45801-4641 | 2020-11-05 |
1205435492 | Ashleigh Andrews | Registered Nurse | 11989 Rich Rd, Loveland, OH 45140-1809 | 2020-10-20 |
1487251971 | Margaret A Pentek | Registered Nurse | 1375 County Road 128, Ironton, OH 45638-8526 | 2020-10-07 |
1881291615 | Gifty E Appini | Registered Nurse | 3988 Karl Rd, Columbus, OH 43224-2161 | 2020-10-05 |
1851998843 | Marwah Home Care LLC | Registered Nurse | 3720 Kersdale Pl, Grove City, OH 43123-8611 | 2020-10-03 |
1720695299 | Lizetter Anu | Registered Nurse | 5733 Millbank Rd Apt B, Columbus, OH 43229-4143 | 2020-09-28 |
1366059404 | Breezy Yinger | Registered Nurse | 17450 Morris Rose Rd, Jackson Center, OH 45334-9447 | 2020-09-23 |
1013520931 | Nurse Education Solutions LLC | Registered Nurse | 1446 Reynolds Rd Ste 100, Maumee, OH 43537-1634 | 2020-08-29 |
1245841238 | Stephanie Stokes | Registered Nurse | 417 W Carpenter Dr, New Carlisle, OH 45344-2533 | 2020-08-12 |
1285245480 | Nancy Harris | Registered Nurse | 10563 Liberty St, Garrettsville, OH 44231-9495 | 2020-08-11 |
Find all providers with the same taxonomy |
City | WELLINGTON |
Zip Code | 44090 |
Please comment or provide details below to improve the information on MICHELLE MARIE WALLACE I.
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.