NANCY ANN WALLACE (NPI# 1669717211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669717211 |
| Entity Type | Individual |
| Full Name | NANCY ANN WALLACE |
| Credential | COTA |
| Practice Address |
2909 Friendship Rd Paragould AR 72450-7548 |
| Practice Telephone | 6016242618 |
| Mailing Telephone | 6016242618 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT1220 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 194418721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356870521 | Nancy Wallace | Student in an Organized Health Care Education/Training Program | 720 Aliceanna St Fl 2, Baltimore, MD 21202-4387 | 2017-06-09 |
| 1861645970 | Nancy E Wallace | Social Worker | 230 E 78th St, Ste. 27, New York, NY 10075-2022 | 2008-11-03 |
| 1376983940 | Nancy Wallace | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-06-27 |
| 1124388046 | Nancy K Wallace | Social Worker | 799 S Main St, Lima, OH 45804-1519 | 2012-05-24 |
| 1144341876 | Nancy Smith Wallace | Dentist | 1709 Washington St, Waukegan, IL 60085-5133 | 2007-04-02 |
| 1073613089 | Nancy V Wallace | Nurse Practitioner | 517 W Grace St, Richmond, VA 23220-4911 | 2006-09-22 |
| 1194717249 | Nancy A Wallace | Nurse Anesthetist, Certified Registered | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-16 |
| Street Address |
2909 FRIENDSHIP RD |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-7548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881411 | Erica Pierce | Occupational Therapy Assistant | 1110 Carroll Road, Paragould, AR 72450-5274 | 2017-03-08 |
| 1356742852 | Hands On Learning, LLC. | Occupational Therapy Assistant | 146 Linwood Dr, Paragould, AR 72450-4077 | 2014-09-16 |
| 1669930525 | Erica Paige Peters | Occupational Therapy Assistant | 146 Linwood Dr, Paragould, AR 72450-4077 | 2019-03-08 |
| 1104334127 | Jessica Lee Sims | Occupational Therapy Assistant | 146 Linwood Dr, Paragould, AR 72450-4077 | 2018-01-11 |
| 1720591282 | Alexandra Jordan | Occupational Therapy Assistant | 1110 Carroll Rd, Paragould, AR 72450-6007 | 2017-11-07 |
| 1487192811 | Della M Mccluskey | Occupational Therapy Assistant | 148 Linwood Dr, Paragould, AR 72450-4077 | 2017-02-06 |
| 1205215282 | Callie Cardellia Jordan | Occupational Therapy Assistant | 146 Linwood Dr, Paragould, AR 72450 | 2015-05-25 |
| 1558702688 | Tommie Arika Mckown | Occupational Therapy Assistant | 148 Linwood Dr, Paragould, AR 72450-4077 | 2013-07-17 |
| 1396038865 | Kassedy Gattis | Occupational Therapy Assistant | 1910 Rector Rd, Paragould, AR 72450-2004 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
| 1023618915 | Rachel Erin Columbus | Occupational Therapy Assistant | 8823 Barber St, Sherwood, AR 72120-2981 | 2020-10-29 |
| 1114532553 | Rachael Masters | Occupational Therapy Assistant | 115 N Fulton St, Clarksville, AR 72830-3020 | 2020-09-12 |
| 1306459888 | Katlyn Elizabeth Young | Occupational Therapy Assistant | 5532 John F Kennedy Blvd, North Little Rock, AR 72116-6708 | 2020-08-25 |
| 1588276208 | Jessica Brooke Yocum | Occupational Therapy Assistant | 3902 Sw Boulder St Apt 27, Bentonville, AR 72713-8496 | 2020-08-24 |
| 1093326068 | Bonnie Allyson Dillon | Occupational Therapy Assistant | 419 W 3rd St, Corning, AR 72422-2754 | 2020-08-13 |
| 1548870744 | Kayla Deann Pickett | Occupational Therapy Assistant | 1447 Columbia Road 29, Magnolia, AR 71753-8947 | 2020-08-03 |
| 1861001240 | Tamarah Janeice Wilson | Occupational Therapy Assistant | 619 Parkview St, Van Buren, AR 72956-2703 | 2020-07-30 |
| 1568070985 | Tarnesa Nicole Ramnarine | Occupational Therapy Assistant | 121 Little River 248, Ogden, AR 71853-9545 | 2020-07-22 |
| 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.