SANDRA WALLER (NPI# 1609277888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609277888 |
| Entity Type | Individual |
| Full Name | SANDRA WALLER |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
3106 Memorial Ave Lynchburg VA 24501-3730 |
| Practice Telephone | 4348454448 |
| Mailing Telephone | 4348454448 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
1201080783 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699301465 | Sandra L Waller | Homemaker | 656 Birch Ave, Euclid, OH 44132-2106 | 2020-03-12 |
| 1144404807 | Sandra Kay Waller | Massage Therapist | 1714 W 23rd Street, Suite E, Panama City, FL 32405-2003 | 2007-12-18 |
| 1518090307 | Sandra Fay Waller | Technician | 2129 Rainbow Dr, 242 W Shamrock Street, Pineville, LA 71360-6449 | 2007-03-13 |
| 1043260441 | Sandra D Waller | Nurse Practitioner | 2861 Broad Ave, Memphis, TN 38112-2903 | 2006-05-10 |
| Street Address |
3106 MEMORIAL AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507369 | Marquarite Motton | Specialist | 2621 Princess Anne St # A, Fredericksburg, VA 22401-3255 | 2020-10-27 |
| 1508479072 | Latarsha Nicole Johnson | Specialist | 10084 Midlothian Tpke, North Chesterfield, VA 23235-4800 | 2020-08-25 |
| 1942823141 | Tia Nicole Skinner | Specialist | 5347 Lila Ln, Virginia Beach, VA 23464-6783 | 2020-05-21 |
| 1346862042 | Exquisite Beauty Industries, LLC | Specialist | 4206 Indian River Rd, Chesapeake, VA 23325-3006 | 2020-05-15 |
| 1124654389 | Hair Cares Inc | Specialist | 2801 Jolly Ln, Chester, VA 23831-5123 | 2020-03-19 |
| 1497392542 | Cindy Wells | Specialist | 604 Aberdeen Rd, Hampton, VA 23661-1844 | 2019-12-09 |
| 1093360349 | Whitney Whitlock | Specialist | 10400 Chester Rd, Chester, VA 23831-1201 | 2019-08-05 |
| 1215599576 | Rhonda Lynette Johnson | Specialist | 12108 Bermuda Crossroad Ln Ste 21, Chester, VA 23831-2452 | 2019-07-07 |
| 1073173696 | Tatianna Canady | Specialist | 571 Onancock Trl, Newport News, VA 23602-4367 | 2019-06-17 |
| 1558924696 | Daviece Nickee Clement | Specialist | 0 E 4th St Ste 14b, Richmond, VA 23224-4202 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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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.