JOSHUA WALLACE (NPI# 1124326343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124326343 |
| Entity Type | Individual |
| Full Name | JOSHUA WALLACE |
| Practice Address |
43335 Kalifornsky Beach Rd Ste 36 Soldotna AK 99669-8280 |
| Practice Telephone | 9072626331 |
| Practice Fax Number | 9072604892 |
| Mailing Telephone | 9072626331 |
| Mailing Fax Number | 9072604892 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CMG675 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1306259833 | Joshua Wallace | Radiology | 101 Manning Drive Cb 7510, Chapel Hill, NC 27599-8905 | 2014-06-02 |
| 1376042168 | Joshua Taylor Wallace | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2018-02-07 |
| Street Address |
43335 KALIFORNSKY BEACH RD STE 36 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-8280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346384039 | Frontier Community Services | Day Training, Developmentally Disabled Services | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2007-02-16 |
| 1891395885 | Troy Lee Bailey | Peer Specialist | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-28 |
| 1619339587 | Kylee Ball | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2016-03-22 |
| 1649696923 | Jody Bauer | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2014-03-11 |
| 1104105527 | Lisa Weekley | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2011-08-16 |
| 1295036051 | Adrienne Chambers | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2010-11-10 |
| 1295066868 | Pamela Mcdermott | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2010-01-21 |
| 1245478601 | Phyllis Allmond | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2009-01-22 |
| 1245477322 | Carolyn Doyle | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2009-01-12 |
| 1437396512 | Arlene Jasky | Case Manager/Care Coordinator | 43335 Kalifornsky Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2009-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558863274 | Joanna Watts | Case Manager/Care Coordinator | 197 W Corral Ave, Soldotna, AK 99669-7542 | 2018-03-08 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1184168676 | Rodreshia Dunbar | Case Manager/Care Coordinator | 43961 Kalifornsky Beach Rd Ste C, Soldotna, AK 99669-8276 | 2016-12-19 |
| 1215471503 | Diana Marvin | Case Manager/Care Coordinator | 43961 Kalifornski Beach Rd, Suite C, Soldotna, AK 99669-8276 | 2016-12-06 |
| 1174970974 | Mary Lukens | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Ste 203, Soldotna, AK 99669-7644 | 2016-05-21 |
| 1689034480 | Jeanine Susan Thomas | Case Manager/Care Coordinator | 43961 K Beach Rd, Soldotna, AK 99669-8276 | 2016-03-07 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1619212438 | Irene Agnes Pipkin | Case Manager/Care Coordinator | 30612 Peanuts Ct, Soldotna, AK 99669-9132 | 2012-12-05 |
| 1386907954 | Lester E Jacques | Case Manager/Care Coordinator | 117 Athabaskan Dr, Soldotna, AK 99669 | 2012-06-19 |
| 1740558964 | Alaska Community Care LLC | Case Manager/Care Coordinator | 246 River Watch Dr, Soldotna, AK 99669-7354 | 2011-12-01 |
| Find all providers in SOLDOTNA | ||||
Please comment or provide details below to improve the information on JOSHUA 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.