CHRISTINA WALLACE (NPI# 1053846154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053846154 |
| Entity Type | Individual |
| Full Name | CHRISTINA WALLACE |
| Practice Address |
262 N Danny Thomas Blvd Memphis TN 38105-2822 |
| Mailing Address |
296 Eastland Dr Memphis TN 38111-6933 |
| Practice Telephone | 9015953300 |
| Mailing Telephone | 9017349809 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
22531 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783848 | Christina N Wallace | Massage Therapist | 308 Oak Street, Penngrove, CA 94951 | 2020-09-04 |
| 1609409549 | Christina Wallace | Nurse Practitioner | 2302 Cambridge Ct N, League City, TX 77573-5004 | 2020-02-19 |
| 1487097937 | Christina Erin Wallace | Acupuncturist | 132 Chatsworth Ave Apt 3a, Larchmont, NY 10538 | 2013-04-15 |
| 1760944284 | Christina Blair Wallace | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-04-03 |
| 1932694858 | Christina Wallace | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2018-06-22 |
| 1548759871 | Christina Wallace | Psychologist | 401 Mcintire Rd Rm 323, Charlottesville, VA 22902-4579 | 2018-05-02 |
| 1568911675 | Christina Ann Wallace | Nurse Practitioner | 1144 Dublin Rd, Columbus, OH 43215-1039 | 2016-09-30 |
| 1861811671 | Christina Wallace | Physical Therapist | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2014-04-09 |
| 1689954653 | Christina K Wallace | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-23 |
| 1861708679 | Christina Marie Wallace | Pharmacist | 2829 N Lombard St, Portland, OR 97217-6263 | 2010-08-31 |
| Street Address |
262 N DANNY THOMAS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265886188 | Caitlyn Duffy | Student in an Organized Health Care Education/Training Program | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2016-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1275009037 | Lashaunda Rogers | Nurse Practitioner | 1264 Wesley Dr Ste 501, Memphis, TN 38116-6456 | 2018-10-19 |
| 1699170019 | Kimberly Nicole Vann | Nurse Practitioner | 1669 Shelby Oaks Dr N Ste 106, Memphis, TN 38134-7441 | 2014-10-28 |
| 1770716078 | Christen D Greenfield | Nurse Practitioner | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2009-09-02 |
| 1902802556 | Jacquelyn Delois Kimball | Nurse Practitioner | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2005-06-27 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1912418302 | Linda Marie Jones | Nurse Practitioner | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2017-10-12 |
| 1194183137 | Gwendolyn Mathis | Nurse Practitioner | 2220 Union Ave, Memphis, TN 38104 | 2016-02-05 |
| 1841684636 | Mia Mccoy | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2015-03-19 |
| 1558594697 | Ann Regina Faulkner | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2009-08-24 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on CHRISTINA 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.