ROBIN E. WALLACE (NPI# 1942497631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942497631 |
| Entity Type | Individual |
| Full Name | ROBIN E. WALLACE |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
6160 Kempsville Cir Ste 325a Norfolk VA 23502-3933 |
| Practice Telephone | 7573542885 |
| Practice Fax Number | 7579175141 |
| Mailing Telephone | 7573542885 |
| Mailing Fax Number | 7579175141 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110002610 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRICARE/CHAMPUS | -022 | 01 |
| NC | 8101130 | 05 | |
| VA | OPTIMA HEALTH | 10115900P | 01 |
| VA | 1942497631 | 05 | |
| VA | USA MANAGED CARE | PAR | 01 |
| VA | CORVEL | PAR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669768925 | Robin Wallace | Occupational Therapy Assistant | 15700 Wyoming Dr, Suite 221, Frisco, TX 75035-6696 | 2011-06-24 |
| 1699962522 | Robin Wallace | Family Medicine | 8616 Greenville Ave, Suite 101, Dallas, TX 75243-7146 | 2007-09-25 |
| 1306948948 | Robin Patricia Wallace | Acupuncturist | 146 Glory Lane, Glorieta, NM 87535 | 2006-09-03 |
| 1306106521 | Robin Wallace | Home Health | 1416 9th St Nw, Washington, DC 20001-3344 | 2012-05-22 |
| 1073823688 | Robin L Wallace | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2010-10-15 |
| 1255661310 | Robin J Wallace | Social Worker | 48 Burd St, Suite 108, Nyack, NY 10960-3226 | 2010-01-12 |
| 1942368618 | Robin Wallace | Counselor | 2 School St, Plymouth, MA 02360-3964 | 2006-12-05 |
| Street Address |
6160 KEMPSVILLE CIR STE 325A |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174503890 | Robert Edmond Walters Jr. | Internal Medicine | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2006-01-19 |
| 1699385849 | Jason Rowe | Nurse Practitioner | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2020-08-03 |
| 1851909998 | Mid Atlantic Long Term Specialty Care LLC | Psychologist | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2020-07-15 |
| 1083222129 | Mid Atlantic Long Term Care Specialists LLC | Family Medicine | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2020-07-15 |
| 1710508734 | Laura Murphy Kitchens | Registered Nurse | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2020-04-30 |
| 1225673585 | Leigh R Johnson | Nurse Practitioner | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2019-11-11 |
| 1265924591 | Tiffany Cherelle Clarke | Nurse Practitioner | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2018-06-01 |
| 1225557556 | Mid-atlantic Post Acute & Long Term Care Pllc | Family Medicine | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2017-09-19 |
| 1245786722 | Johnnie Faye Lawrimore | Nurse Practitioner | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2016-08-25 |
| 1841641503 | Kristel Denise Alexander | Nurse Practitioner | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1558990291 | Ellen Marie Pagliarulo | Physician Assistant | 21 Ridge Rd, Norfolk, MA 02056-1748 | 2020-04-04 |
| 1437785870 | Marissa Knott | Physician Assistant | 7509 Honeysuckle Rd, Norfolk, VA 23518-4514 | 2020-03-17 |
| 1700428349 | Sydney Charmagne Pawsey | Physician Assistant | 601 Pembroke Ave Apt 610, Norfolk, VA 23507-2051 | 2019-10-15 |
| 1831730944 | Brittany Anne Porter | Physician Assistant | 1362 Virgilina Ave, Norfolk, VA 23503-2218 | 2019-10-01 |
| 1437626686 | Kayla Sommers | Physician Assistant | 601 Childrens Ln Fl 2, Norfolk, VA 23507-1910 | 2018-10-25 |
| 1821573593 | Giselle Castaneda De Guzman | Physician Assistant | 400 W Brambleton Ave Ste 104, Norfolk, VA 23510-1151 | 2018-09-28 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1265925150 | Emily Burke | Physician Assistant | 171 Kempsville Rd Ste 200, Norfolk, VA 23502-4700 | 2018-06-14 |
| 1124546163 | Jonathan Joseph Daly | Physician Assistant | 171 Kempsville Rd Bldg A2nd, Norfolk, VA 23502-4700 | 2017-08-30 |
| Find all providers in NORFOLK | ||||
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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.