VALERIE ELIZABETH WALLACE (NPI# 1902375512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902375512 |
| Entity Type | Individual |
| Full Name | VALERIE ELIZABETH WALLACE |
| Credential | RN |
| Practice Address |
1630 Main St Ste 101 Chester MD 21619-2792 |
| Mailing Address |
446 Alder Trl Crownsville MD 21032-1642 |
| Practice Telephone | 4106046560 |
| Mailing Telephone | 4349892774 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R192586 | MD | Nursing Service Providers |
| N | 207Q00000X | Family Medicine | R192586 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CERTIFIED REGISTERED NURSE PRACTITIONER | R192586 | 01 |
| MD | REGISTERED NURSE | R192586 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 446 Alder Trl, Crownsville, MD 210321642 | 4349892774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093166852 | Valerie Wallace | Non-emergency Medical Transport (VAN) | 833 Redden Row, Blythewood, SC 29016-7221 | 2016-06-23 |
| 1043556483 | Valerie Wallace | Community Health Worker | 61 East Sennebec Road, Union, ME 04862-4616 | 2012-12-12 |
| 1376088187 | Valerie Kay Wallace | Specialist/Technologist | 263 Seaboard Ln, Franklin, TN 37067-4877 | 2017-01-03 |
| 1922440544 | Valerie Wallace | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2013-07-24 |
| Street Address |
1630 MAIN ST STE 101 |
| City | CHESTER |
| State | MD |
| Zip Code | 21619-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548797376 | Mackenzie Costello | Registered Nurse | 1630 Main St Ste 101, Chester, MD 21619-2792 | 2017-05-11 |
| 1861050619 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 1630 Main St Ste 101, Chester, MD 21619-2792 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
| Find all providers in zip 21619 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1790321081 | Audriann Morris | Registered Nurse | 202 Creamery Pond Rd, Chester, NY 10918-1764 | 2019-11-21 |
| 1245890946 | Anna Noel Hankins | Registered Nurse | 2602 W 9th St Ste 200, Chester, PA 19013-2090 | 2019-06-17 |
| 1013575513 | Rhonda L Stull | Registered Nurse | 4567 Chester Hwy, Chester, GA 31012-3033 | 2019-05-30 |
| 1679048060 | Latisha Harper | Registered Nurse | 2913 Sweetberry Ct, Chester, VA 23831-5224 | 2018-10-11 |
| 1508351438 | Linda May Dowd | Registered Nurse | 89 Booth Rd, Chester, NY 10918-2633 | 2018-06-23 |
| 1548797376 | Mackenzie Costello | Registered Nurse | 1630 Main St Ste 101, Chester, MD 21619-2792 | 2017-05-11 |
| 1437697695 | Crozer-keystone Community Foundation | Registered Nurse | 2602 W 9th St Fl 2, Chester, PA 19013-2040 | 2017-02-08 |
| 1154873875 | Karla Jean Kulpas | Registered Nurse | 618 E. Adams Ave., Chester, MT 59522-0705 | 2016-10-28 |
| 1578012621 | Tahitia Woods | Registered Nurse | 2302 Whispering Hls, Chester, NY 10918-1559 | 2016-09-30 |
| 1164873550 | Gelsie Tucciariello | Registered Nurse | 245 Dug Rd, Chester, NY 10918-2642 | 2016-06-27 |
| Find all providers in CHESTER | ||||
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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.