ANNETTE R WALLACE (NPI# 1649784422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649784422 |
| Entity Type | Individual |
| Full Name | ANNETTE R WALLACE |
| Credential | LPN |
| Practice Address |
417 S Johnson St New Orleans LA 70112-2237 |
| Mailing Address |
528 N Marlin Ct Terrytown LA 70056-2852 |
| Practice Telephone | 5045247205 |
| Practice Fax Number | 5045814702 |
| Mailing Telephone | 5043619007 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 220196 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915205 | Annette Wallace | Community Health Worker | 1230 2nd Ave, Columbus, GA 31901-5241 | 2014-05-21 |
| 1952698235 | Annette S. Wallace | Counselor | 6931 S 66th East Ave, 115, Tulsa, OK 74133-1754 | 2011-07-07 |
| Street Address |
417 S JOHNSON ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083049829 | La Toya Beverly Anderson | Social Worker | 417 S Johnson St, New Orleans, LA 70112-2237 | 2013-09-12 |
| 1033623061 | Niketa Danyell Lonzo | Licensed Practical Nurse | 417 S Johnson St, New Orleans, LA 70112-2237 | 2017-11-29 |
| 1417487620 | Tonjaletha Howard Jenkins | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2017-06-20 |
| 1861939746 | George Molaison | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2017-01-30 |
| 1831635374 | Geoffrey Brazda | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2017-01-09 |
| 1275078800 | Levi Lafferty | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2017-01-06 |
| 1699225037 | Beth Anne Smith | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2016-10-10 |
| 1093260796 | Samantha Baye | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2016-08-23 |
| 1457806150 | Derek Daigle | Counselor | 417 S Johnson St, New Orleans, LA 70112-2237 | 2016-08-23 |
| 1679027494 | Cherie Montero Albro | Registered Nurse | 417 S Johnson St, New Orleans, LA 70112-2237 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492216 | Jesscia Elizabeth Sanders | Licensed Practical Nurse | 3631 Elysian Fields Ave, New Orleans, LA 70122-4553 | 2020-03-14 |
| 1538641881 | Roberta Lewis | Licensed Practical Nurse | 1516 Gravier St, New Orleans, LA 70112 | 2018-09-04 |
| 1346720190 | We Care Mental Health Services LLC | Licensed Practical Nurse | 4480 General Degaulle Dr Ste 210, New Orleans, LA 70131-6306 | 2018-08-20 |
| 1134611999 | Antoinette Watson | Licensed Practical Nurse | 4535 Wilson Ave, New Orleans, LA 70126-4349 | 2018-06-06 |
| 1770086589 | Assuring Hearts LLC | Licensed Practical Nurse | 201 Saint Charles Ave Ste 2524, New Orleans, LA 70170-1000 | 2018-03-18 |
| 1326541285 | Datoya S Lockett | Licensed Practical Nurse | 2235 Poydras St Ste 2, New Orleans, LA 70119-7561 | 2018-03-16 |
| 1588163877 | Ariel Denise Lowe | Licensed Practical Nurse | 10337 Chevy Chase Dr, New Orleans, LA 70127-2312 | 2018-02-02 |
| 1225560386 | Andreleta Higgins | Licensed Practical Nurse | 2311 Gravier St, New Orleans, LA 70119-7523 | 2017-03-29 |
| 1881015857 | Joy Hunter | Licensed Practical Nurse | 4651 Cardenas Dr, New Orleans, LA 70127-3734 | 2013-12-18 |
| 1235362385 | Carolyn Cowart | Licensed Practical Nurse | 4440 Werner Dr, New Orleans, LA 70126-4546 | 2009-08-24 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.