MRS. KANDACE MARIE WALL (NPI# 1144562620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144562620 |
| Entity Type | Individual |
| Full Name | MRS. KANDACE MARIE WALL |
| Credential | APRN |
| Practice Address |
1792 Alysheba Way Suite 150 Lexington KY 40509-2288 |
| Mailing Address |
3851 Dylan Pl Lexington KY 40514-1062 |
| Practice Telephone | 8593359041 |
| Mailing Telephone | 6066698601 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007996 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1792 ALYSHEBA WAY SUITE 150 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423275 | Robert Swayze | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2006-03-31 |
| 1033632658 | Ryan Charles Vietmeier | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2017-07-25 |
| 1700259223 | Laura Elizabeth Williams | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1144693656 | Austin Tiller | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1700215720 | Tori Cloar Justice | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2013-11-12 |
| 1003250473 | Mesa Indiana Ed Associates, LLC | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2013-04-29 |
| 1063765865 | Todd Stuart Greene | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-10-18 |
| 1508114224 | Cara Clark Busler | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-08-28 |
| 1497017669 | Caitlyn Marie Jervis | Physician Assistant | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2012-06-13 |
| 1669744595 | Marshall West Virginia Hospitalist Associates, LLC | Internal Medicine | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 1578161303 | Mariem Kader | Nurse Practitioner | 3622 White Pine Dr, Lexington, KY 40514-1740 | 2020-10-14 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| 1649878992 | Margaret Bunch | Nurse Practitioner | 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 | 2020-10-09 |
| 1831701572 | Jillian Leigh Butcher | Nurse Practitioner | 2917 Mahala Ln, Lexington, KY 40509-8555 | 2020-08-22 |
| 1033721154 | Heart Rescue Cpr LLC | Nurse Practitioner | 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 | 2020-08-19 |
| 1619588241 | Jordyn L Bush | Nurse Practitioner | 124 Clay Ave, Lexington, KY 40502-1702 | 2020-08-17 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on MRS. KANDACE MARIE WALL.
| 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.