MRS. SANDRA MARIE WALLACE (NPI# 1912273301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912273301 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA MARIE WALLACE |
| Credential | RN |
| Practice Address |
180 7th Ave Brooklyn NY 11203 |
| Mailing Address |
180 7th Ave Brooklyn NY 11215-2609 |
| Practice Telephone | 7184992412 |
| Mailing Telephone | 7184992412 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
441751-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518153295 | Sandra Eugenia Wallace | Massage Therapist | 3627 Acornrun Ln, Spring, TX 77389-4721 | 2007-09-17 |
| 1710910617 | Sandra Marie Wallace | Pharmacist | 4501 Outer Loop, Louisville, KY 40219-3856 | 2006-07-07 |
| 1811182868 | Sandra Frances Wallace | Licensed Practical Nurse | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2007-09-12 |
| 1245350172 | Sandra V Wallace | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2007-04-02 |
| 1235140930 | Sandra Louise Wallace | Internal Medicine | 50 Alessandro Pl, Suite 360, Pasadena, CA 91105-3149 | 2006-08-10 |
| 1093748717 | Sandra J. Wallace | Occupational Therapist | 1701 N Collins Blvd, Suite 100, Richardson, TX 75080-3564 | 2006-07-08 |
| Street Address |
180 7TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144596917 | Eva Liszkay | Occupational Therapist | 180 7th Ave, Brooklyn, NY 11215-2609 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073032892 | Vania Richardson | Registered Nurse | 221 Washington Rd Apt C, Brooklyn, NY 11209-8441 | 2017-09-13 |
| 1891117487 | Metziemcclarty Mcclarty | Registered Nurse | 8501 Avenue N, Brooklyn, NY 11236-5111 | 2014-01-15 |
| 1548562960 | Sandra Regina Appel | Registered Nurse | 81 Ocean Pkwy, #3b, Brooklyn, NY 11218-1754 | 2010-11-18 |
| 1720392376 | Elena Bratkovsky | Registered Nurse | 462 Mayfair Dr S, Brooklyn, NY 11234-6911 | 2010-08-05 |
| 1104145267 | Rachel Catherine Smith | Registered Nurse | 81 Ocean Pkwy Apt 3b, Brooklyn, NY 11218-1763 | 2010-05-27 |
| 1073703088 | Colleen Deidre Mccarthy | Registered Nurse | 120 96th St, #2e, Brooklyn, NY 11209-7547 | 2007-07-26 |
| 1013521954 | Anna W Ku | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-09-08 |
| 1841846169 | Osarumwense Jennifer Osaghae | Registered Nurse | 1723 8th Ave, Brooklyn, NY 11215-6103 | 2019-08-13 |
| 1679093405 | Anna Balderas | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2017-06-22 |
| 1487031555 | Jessica Stephanie Gamez | Registered Nurse | 81 Ocean Pkwy Apt 3b, Brooklyn, NY 11218-1763 | 2015-04-28 |
| Find all providers in BROOKLYN | ||||
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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.