ELIZABETH LEANNE WALLIS (NPI# 1740528546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740528546 |
| Entity Type | Individual |
| Full Name | ELIZABETH LEANNE WALLIS |
| Credential | APN |
| Practice Address |
110 Medical Cir Nashville AR 71852-8606 |
| Practice Telephone | 8708456060 |
| Mailing Telephone | 8708456060 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01706 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681800 | Elizabeth Wallis | Physician Assistant | 7400 France Ave S Ste 100, Edina, MN 55435-4738 | 2019-10-28 |
| 1821551334 | Elizabeth Nicole Wallis | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2019-04-11 |
| 1023344025 | Elizabeth Mary Wallis | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2009-10-26 |
| Street Address |
110 MEDICAL CIR |
| City | NASHVILLE |
| State | AR |
| Zip Code | 71852-8606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225559800 | Alana Kaye Day | Nurse Practitioner | 110 Medical Cir, Nashville, AR 71852-8606 | 2017-07-04 |
| 1467852210 | Howard Memorial Hospital | Family Medicine | 110 Medical Cir, Nashville, AR 71852-8606 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766316 | Kaydra Ayers | Case Manager/Care Coordinator | 508 N. 2nd Street, Nashville, AR 71852 | 2019-08-21 |
| 1861925794 | Kristin T Myers | Occupational Therapy Assistant | 27 Boyd Lane, Nashville, AR 71852 | 2017-04-07 |
| 1639539687 | Regan Carlton | Occupational Therapy Assistant | 1407 Maine St, Nashville, AR 71852 | 2016-03-03 |
| 1053633487 | Rehab Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 22 Southpark Shopping Center, Nashville, AR 71852 | 2010-02-26 |
| 1104312701 | American Oncology Partners, P.a. | Internal Medicine | 130 Medical Cir, Nashville, AR 71852 | 2018-07-06 |
| 1528573896 | Lhcg Cxxv, LLC | Nursing Care | 505 S Main St, Nashville, AR 71852 | 2017-12-08 |
| 1346542933 | Karen Loomis | Nurse Practitioner | 6 Southpark Shopping Ctr, Nashville, AR 71852 | 2010-12-02 |
| 1043538218 | Syed Ussama Javed | Family Medicine | 119 Medical Circle, Suite 1, Nashville, AR 71852 | 2010-05-12 |
| 1558516831 | Joni D Mcghee | Occupational Therapist | 130 Medical Circle, Nashville, AR 71852 | 2008-11-30 |
| 1215102702 | Howard Memorial Hospital | Surgery | 130 Medical Circle, Nashville, AR 71852 | 2008-04-25 |
| Find all providers in zip 71852 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| Find all providers in NASHVILLE | ||||
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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.