AMY WALLACE (NPI# 1922472455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922472455 |
| Entity Type | Individual |
| Full Name | AMY WALLACE |
| Credential | NP |
| Practice Address |
333 Portage St Kalamazoo MI 49007-4931 |
| Mailing Address |
6678 Guernsey Lake Rd Delton MI 49046-9739 |
| Practice Telephone | 2693594407 |
| Practice Fax Number | 2692907078 |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704241734 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760887657 | Amy Wallace | Case Manager/Care Coordinator | 34 Seals Dr, Monroe, NY 10950-3949 | 2014-11-04 |
| 1376958553 | Amy Wallace | Occupational Therapy Assistant | 741 Fenwick Rd, Hillsboro, OH 45133-6789 | 2014-06-25 |
| 1528362902 | Amy Vosburg Wallace | Counselor | 6814 Auburn Oak Trl, Humble, TX 77346-1366 | 2010-12-29 |
| 1861663122 | Amy Beth Wallace | Licensed Practical Nurse | 150 Gate House Trl, Henrietta, NY 14467-9559 | 2008-03-14 |
| 1831289917 | Amy Piatt Wallace | Speech-Language Pathologist | 238 Cureton St, Greenville, SC 29605-1031 | 2006-10-13 |
| 1134619463 | Amy Wallace | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-05-11 |
| 1104178052 | Amy M Wallace | Nurse Practitioner | 800 Rose St, 4th Floor, Lexington, KY 40536-0001 | 2012-10-02 |
| 1043452063 | Amy Evelyn Wallace | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2009-04-06 |
| 1740457209 | Amy Wallace | Obstetrics & Gynecology | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2008-05-14 |
| 1376695627 | Amy Catherine Wallace | Occupational Therapist | 2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 | 2007-01-17 |
| Street Address |
333 PORTAGE ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141018 | Jamie Kay Nevins | Nurse Practitioner | 4114 Mead St, Kalamazoo, MI 49004 | 2018-04-09 |
| 1477080844 | Paul Justin Rohr | Nurse Practitioner | 1717 Shaffer St Ste 232, Kalamazoo, MI 49048-1674 | 2017-05-17 |
| 1891146114 | Sikhanyiso Maphosa | Nurse Practitioner | 4109 Aspen Dr, Kalamazoo, MI 49006-1401 | 2016-06-28 |
| 1033312194 | Joan Lynn Duckworth | Nurse Practitioner | 7000 Portage Road, Kalamazoo, MI 49001 | 2007-06-07 |
| 1588661987 | Diana Marie Loynes | Nurse Practitioner | 8210 Keweenaw St, Kalamazoo, MI 49009-5957 | 2005-06-30 |
| 1063416972 | Nanette Marie Haring | Nurse Practitioner | 222 N Kalamazoo Mall, Suite 100, Kalamazoo, MI 49007-3881 | 2005-06-08 |
| 1710591680 | Marshe Suderman | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-09-08 |
| 1417561416 | Grace-fomboh Kande | Nurse Practitioner | 3601 S 9th St, Kalamazoo, MI 49009-9538 | 2020-09-07 |
| 1407472780 | Allison Green | Nurse Practitioner | 601 John St Ste M-273, Kalamazoo, MI 49007-5360 | 2020-06-22 |
| 1770105553 | Kathryn Barnett | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2020-05-14 |
| Find all providers in KALAMAZOO | ||||
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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.