LAURA L WALLACE (NPI# 1699271080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699271080 |
| Entity Type | Individual |
| Full Name | LAURA L WALLACE |
| Credential | LPN |
| Practice Address |
2518 Portage Grove Ct Wooster OH 44691-1975 |
| Practice Telephone | 3302429297 |
| Mailing Telephone | 3302429297 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 148386 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721701 | Laura Wallace | Behavioral Analyst | 925 Roxburgh Ave, Rock Hill, SC 29732-5505 | 2020-05-14 |
| 1841859576 | Laura A Wallace | Technician | 242 37th St Se Apt 11, Washington, DC 20019-3161 | 2019-06-06 |
| 1679047005 | Laura J Wallace | Advanced Practice Midwife | 115 Eagle Spring Dr Ste A200, Stockbridge, GA 30281-6486 | 2019-01-18 |
| 1003140062 | Laura L Wallace | Registered Nurse | 3425 Sw Kimstin Cir, Blue Springs, MO 64015-4579 | 2009-09-23 |
| 1659515013 | Laura Beth Wallace | Marriage & Family Therapist | 3430 Sw 320th St Ste D2, Federal Way, WA 98023-2292 | 2009-04-28 |
| 1417566910 | Laura Anne Wallace | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-30 |
| 1841619848 | Laura Jean Wallace | Pediatrics | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2014-04-08 |
| 1457698920 | Laura Ann Wallace | Physical Therapist | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2013-01-03 |
| 1407119779 | Laura Wallace | Emergency Medicine | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2012-06-20 |
| 1265737753 | Laura Ann Wallace | Nurse Practitioner | 1445 Us Highway 51 Byp E, Dyersburg, TN 38024-2127 | 2011-01-14 |
| Street Address |
2518 PORTAGE GROVE CT |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| 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 |
|---|---|---|---|---|
| 1508341223 | Angela Slarb | Licensed Practical Nurse | 1026 Ridgecrest Dr, Wooster, OH 44691-2614 | 2018-09-27 |
| 1811401615 | Christina Marie Bonewit | Licensed Practical Nurse | 956 Northview Dr, Wooster, OH 44691-1750 | 2017-12-01 |
| 1124577507 | Andrea Yoder | Licensed Practical Nurse | 3636 Pheasant Run, Wooster, OH 44691-8461 | 2016-09-27 |
| 1487060349 | Gregory James Massaro | Licensed Practical Nurse | 924 Rebecca St, Wooster, OH 44691-4268 | 2014-07-10 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1528470580 | Misty Shinn | Licensed Practical Nurse | 3940 Batdorf Rd, Wooster, OH 44691-9184 | 2014-05-27 |
| 1316378417 | Lisa Volpe | Licensed Practical Nurse | 5708 Canaan Center Rd, Wooster, OH 44691-9666 | 2013-11-29 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1215378997 | Erin Rae Burdette | Licensed Practical Nurse | 11088 Angling Rd, Wooster, OH 44691-9346 | 2013-07-10 |
| 1043550106 | William Restrepo | Licensed Practical Nurse | 213 E Bowman St, Wooster, OH 44691-3535 | 2013-02-26 |
| Find all providers in WOOSTER | ||||
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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.