JOAN WALLACE (NPI# 1972696938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972696938 |
| Entity Type | Individual |
| Full Name | JOAN WALLACE |
| Credential | NP |
| Practice Address |
297 Promenade St Providence RI 02908-5720 |
| Practice Telephone | 4014906464 |
| Mailing Telephone | 4014906464 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NPP20834 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629230776 | Joan Wallace | Massage Therapist | 4383 Northlake Blvd, Suite 309, Palm Beach Gardens, FL 33410-6253 | 2008-06-30 |
| Street Address |
297 PROMENADE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311314 | Martha A Pizzarello | Obstetrics & Gynecology | 297 Promenade St, Providence, RI 02908-5720 | 2005-10-27 |
| 1558842112 | Kristin Linh Dovan | Advanced Practice Midwife | 297 Promenade St, Providence, RI 02908-5720 | 2018-08-22 |
| 1962765446 | Karen R Browning | Obstetrics & Gynecology | 297 Promenade St, Providence, RI 02908-5720 | 2012-06-20 |
| 1093019341 | Christina Erinakes | Midwife | 297 Promenade St, Providence, RI 02908-5720 | 2010-12-30 |
| 1942514039 | Elizabeth Anne Mayhall | Obstetrics & Gynecology | 297 Promenade St, Providence, RI 02908-5720 | 2010-07-30 |
| 1538484134 | Christine Ann Larose | Obstetrics & Gynecology | 297 Promenade St, Center for Obstetrics and Gynecology, Providence, RI 02908-5720 | 2010-04-07 |
| 1871758185 | David Audoen Maddock | Obstetrics & Gynecology | 297 Promenade St, Providence, RI 02908 | 2008-07-25 |
| 1295994069 | Nancy J Cocchiarella | Nurse Practitioner | 297 Promenade St, Providence, RI 02908-5720 | 2008-06-05 |
| 1285834119 | Caitlin O'neill Saint-aubin | Obstetrics & Gynecology | 297 Promenade St, Center for Obstetrics and Gynecology, Providence, RI 02908-5720 | 2007-07-19 |
| 1265533210 | Center for Obstetrics & Gynecology | Obstetrics & Gynecology | 297 Promenade St, Providence, RI 02908-5720 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528127479 | Laurie Telfer-whelan | Nurse Practitioner | 695 Eddy Street, Providence, RI 02905 | 2006-12-06 |
| 1356470629 | Ann Mary Cooper | Nurse Practitioner | 101 Dudley St, Providence, RI 02905-2401 | 2007-03-05 |
| 1497815526 | Linda Moulton | Nurse Practitioner | 101 Dudley St, Providence, RI 02905-2401 | 2006-12-11 |
| 1568453413 | Mary Padbury | Nurse Practitioner | 100 Curtis St, Providence, RI 02909-3623 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386152528 | Kathalina Renee Fabian-fontenot | Nurse Practitioner | 45 Wells St Ste 104, Westerly, RI 02891-2927 | 2018-01-22 |
| 1205380698 | Heather Nisbet | Nurse Practitioner | 390 Toll Gate Rd, Warwick, RI 02886-4488 | 2016-08-15 |
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on JOAN WALLACE.
| 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.