SHANNON MAY WALLACE (NPI# 1891223293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891223293 |
| Entity Type | Individual |
| Full Name | SHANNON MAY WALLACE |
| Credential | NP |
| Practice Address |
700 Childrens Dr Fl Hall1 Columbus OH 43205-2664 |
| Practice Telephone | 6147223004 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
020549 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588142574 | Shannon Wallace | Specialist | 8777 254th St, Bellerose, NY 11426-2329 | 2018-08-01 |
| 1538609847 | Shannon Wallace | Behavior Technician | 841 Hughes Ln, Highlands Ranch, CO 80126-4746 | 2017-03-06 |
| 1750757340 | Shannon Wallace | Home Health Aide | 636 Candyce Ave, Lakeland, FL 33815-1202 | 2015-08-18 |
| 1205102092 | Shannon Leigh Wallace | Obstetrics & Gynecology | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-1705 | 2012-03-27 |
| 1730328840 | Shannon D Wallace | Behavioral Analyst | 3954 Murphy Canyon Rd, Suite D105, San Diego, CA 92123-4418 | 2009-02-12 |
| 1437707452 | Shannon Wallace | Physical Therapy Assistant | 3108 Circle Dr, White Pine, TN 37890-3306 | 2019-09-03 |
| 1598103111 | Shannon R Wallace | Physician Assistant | 5818 D Harbour View Blvd, Suite 150, Suffolk, VA 23435-3327 | 2013-06-05 |
| 1326290982 | Shannon Mcnally Wallace | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2008-10-15 |
| 1851481584 | Shannon L Wallace | Nurse Practitioner | 1001 W 10th St, Er/uvc, Indianapolis, IN 46202-2859 | 2006-10-13 |
| Street Address |
700 CHILDRENS DR FL HALL1 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.