AUDREY WALLACE


Address: 1600 Wallace Blvd, Amarillo, TX 79106-1799
Phone: 8062125750

AUDREY WALLACE (NPI# 1710518071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710518071
Entity Type Individual
Full Name AUDREY WALLACE
Credential FNP
Practice Address 1600 Wallace Blvd
Amarillo
TX 79106-1799
Practice Telephone 8062125750
Mailing Telephone 8062125750
Enumeration Date 2020-01-27
Last Update Date 2020-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine AP144794 TX Allopathic & Osteopathic Physicians

Other Providers AUDREY WALLACE

NPI Name Taxonomy Address Enumeration
1396185666 Audrey Wallace Radiology 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 2013-07-01

Office Location

Street Address 1600 WALLACE BLVD
City AMARILLO
State TX
Zip Code 79106-1799

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932102431 Agha Zia Haider Pediatrics 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 2005-05-27
1144821034 Michelle Lee Fowler Nurse Practitioner 1600 Wallace Blvd, Amarillo, TX 79106-1799 2020-11-05
1659978773 Charlotte Cash Nurse Practitioner 1600 Wallace Blvd, Amarillo, TX 79106-1799 2020-10-01
1962042648 Jamie Denae Polite Physical Therapy Assistant 1600 Wallace Blvd, Amarillo, TX 79106-1799 2020-01-10
1336786748 Shelby Fields Hospitalist 1600 Wallace Blvd, Amarillo, TX 79106-1799 2019-12-04
1740833615 Josh Tabor Longbine Pharmacist 1600 Wallace Blvd, Amarillo, TX 79106-1799 2019-07-19
1295392124 Pranav Dilip Bhakta Physician Assistant 1600 Wallace Blvd, Amarillo, TX 79106-1799 2019-05-27
1750844270 Phyllis Fields Dietitian, Registered 1600 Wallace Blvd, Amarillo, TX 79106-1789 2019-04-11
1124581772 Anita Auers Smith Dietitian, Registered 1600 Wallace Blvd, Amarillo, TX 79106-1789 2019-04-10
1992265938 Ellen Louise Edwards Dietitian, Registered 1600 Wallace Blvd, Amarillo, TX 79106-1789 2019-03-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Durable Medical Equipment & Medical Supplies 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
Find all providers in zip 79106

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760949200 Joy Medical Clinic Pllc Family Medicine 4310 S Western St Unit E, Amarillo, TX 79109-6036 2019-02-20
1679929723 Megan Maguire Marshall Scott Family Medicine Regence Health Network, 3113 Ross St., Amarillo, TX 79103 2016-05-08
1013276088 Fmc Medical Foundation, Inc. Family Medicine 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 2012-05-11
1629364435 Sarah Christine Lozano Family Medicine 1900 S Coulter St Ste A, Amarillo, TX 79106-1785 2011-06-21
1508151309 Anastacia J Nix Family Medicine 2329 Ross Osage St, Amarillo, TX 79103 2011-06-09
1932350550 Preventative Healthcare Institute, LLC Family Medicine 1920 Medi Park Dr Ste 2, Amarillo, TX 79106-2111 2008-10-01
1750562450 Drs. Stout & Cotton Family Medicine 2300 W 7th Ave, Amarillo, TX 79106-6623 2007-11-21
1861689572 Cristiane Campos Ennis Family Medicine 1901 Medi Park Dr 103, Amarillo, TX 79106-2106 2007-09-26
1043405913 Wesley Scott Nickens Family Medicine 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 2007-09-12
1336360452 Earl C. Hoffer Family Medicine Pantex Plant Fm 2373 At Hwy 60, Amarillo, TX 79120 2007-05-02
Find all providers in AMARILLO

Competitor

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City AMARILLO
Zip Code 79106

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Dataset Information

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.

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