VALERIE WALLACE (NPI# 1093166852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093166852 |
| Entity Type | Individual |
| Full Name | VALERIE WALLACE |
| Practice Address |
833 Redden Row Blythewood SC 29016-7221 |
| Mailing Address |
13401 Old Mccoll Rd Gibson NC 28343-8541 |
| Practice Telephone | 9105449103 |
| Mailing Telephone | 9105449103 |
| Mailing Fax Number | 9105063532 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 007229437 | SC | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043556483 | Valerie Wallace | Community Health Worker | 61 East Sennebec Road, Union, ME 04862-4616 | 2012-12-12 |
| 1902375512 | Valerie Elizabeth Wallace | Registered Nurse | 1630 Main St Ste 101, Chester, MD 21619-2792 | 2018-11-13 |
| 1376088187 | Valerie Kay Wallace | Specialist/Technologist | 263 Seaboard Ln, Franklin, TN 37067-4877 | 2017-01-03 |
| 1922440544 | Valerie Wallace | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2013-07-24 |
| Street Address |
833 REDDEN ROW |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016-7221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| Find all providers in zip 29016 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336551324 | Apple Transport | Non-emergency Medical Transport (VAN) | 16 Red Winds Ct, Blythewood, SC 29016-8196 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962530 | Nathan Bryant | Non-emergency Medical Transport (VAN) | 519b W Darlington St, Florence, SC 29501-2413 | 2020-11-05 |
| 1043810963 | Medix Transportation LLC | Non-emergency Medical Transport (VAN) | 479 Sunset Pointe Dr, Lyman, SC 29365-9332 | 2020-10-29 |
| 1104424894 | James Little | Non-emergency Medical Transport (VAN) | Red Line Medical Transport, 126 Taylor Lane, Lexington, SC 29073-2907 | 2020-10-14 |
| 1932715646 | Warriors Pride Transportation Services, LLC. | Non-emergency Medical Transport (VAN) | 212 Elstow Rd, Irmo, SC 29063-2173 | 2020-09-17 |
| 1750995817 | Gracious Transportation Services,llc | Non-emergency Medical Transport (VAN) | 449 W Centennial St, Spartanburg, SC 29303-2767 | 2020-09-04 |
| 1841804515 | Dion Greer | Non-emergency Medical Transport (VAN) | 4 Crossbill Dr, Simpsonville, SC 29680-7331 | 2020-09-01 |
| 1891305389 | Leaf Transporation Company | Non-emergency Medical Transport (VAN) | 2724 Boardwalk, Florence, SC 29505-6651 | 2020-08-09 |
| 1437769700 | Shadera Williams | Non-emergency Medical Transport (VAN) | 30 Birch St, Kingstree, SC 29556-2064 | 2020-08-03 |
| 1043835663 | Candace Stewart | Non-emergency Medical Transport (VAN) | 903 S Santiago Dr Unit F, Florence, SC 29501-6048 | 2020-06-09 |
| 1770107591 | Yellow Cab Company of Charleston | Non-emergency Medical Transport (VAN) | 2019 Cherry Hill Ln, Charleston, SC 29405-9309 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
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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.