MRS. NICOLE LYNN WALLIS (NPI# 1154409357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154409357 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE LYNN WALLIS |
| Credential | LPN |
| Practice Address |
421 East 1st Street Wellston OH 45692 |
| Mailing Address |
421 E 1st St Wellston OH 45692-1505 |
| Practice Telephone | 7403844341 |
| Mailing Telephone | 7403844341 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 103921 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346443728 | Nicole Marie Wallis | Emergency Medicine | 1 Perkins Sq, Akron Children's Hospital, Akron, OH 44308 | 2007-06-06 |
| Street Address |
421 EAST 1ST STREET |
| City | WELLSTON |
| State | OH |
| Zip Code | 45692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190803 | Courtney Kincaid | Speech-Language Pathologist | 405 N Park Avenue, Wellston, OH 45692 | 2017-08-18 |
| 1154728905 | Kelly Newell | Health Educator | 519 Cheatwood Rd, Wellston, OH 45692 | 2014-11-21 |
| 1104167998 | Denise Rice | Occupational Therapy Assistant | 405 North Park Ave, Wellston, OH 45692 | 2013-03-05 |
| 1720327067 | Laura R Chapman | Student in an Organized Health Care Education/Training Program | 405 North Park Avenue, Wellston, OH 45692 | 2013-02-06 |
| 1992016828 | Hands On Care Respiratory and Oxygen | Respiratory Therapist, Certified | 6200 St Rt 327, Jackson, OH 45692 | 2010-06-25 |
| 1982242160 | Micah Erin Glenn | Nurse Practitioner | 405 N Park Ave, Wellston, OH 45692 | 2019-12-18 |
| 1477071371 | Edgewood Manor of Wellston LLC | Skilled Nursing Facility | 405 North Park Avenue, Wellston, OH 45692 | 2017-08-31 |
| 1659729267 | Erica Squires | Occupational Therapist | 405 North Park Ave, Wellston, OH 45692 | 2016-05-25 |
| 1770823247 | Amanda N Massie | Occupational Therapy Assistant | 405 North Park Avenue, Wellston, OH 45692 | 2013-02-21 |
| 1720107576 | James Lee Phillips | Dentist | 22 North Ohio Avenue, Wellston, OH 45692-0266 | 2007-03-29 |
| Find all providers in zip 45692 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027746 | Shannon Frisby | Licensed Practical Nurse | 1574 Glade Run Rd, Wellston, OH 45692-9767 | 2020-09-10 |
| 1326429481 | Jeannie Pugh | Licensed Practical Nurse | 309 E 9th St, Wellston, OH 45692-1825 | 2015-06-15 |
| 1700203882 | Amos Harber | Licensed Practical Nurse | 1180 Adelphia State Rd, Wellston, OH 45692-9711 | 2014-03-26 |
| 1639510506 | Christopher Heath Cline | Licensed Practical Nurse | 613 W 2nd St, Wellston, OH 45692-9462 | 2013-07-08 |
| 1548521545 | Jennifer Delong | Licensed Practical Nurse | 623 S Pennsylvania Ave, Wellston, OH 45692-1722 | 2012-06-06 |
| 1477858942 | Steven Troy Rader | Licensed Practical Nurse | 1440 S Ohio Ave, Wellston, OH 45692-2318 | 2011-01-14 |
| 1366617318 | Freida Jo Carroll | Licensed Practical Nurse | 271 W 13th St, Wellston, OH 45692-9213 | 2008-04-29 |
| 1265638068 | April Dawn Doles | Licensed Practical Nurse | 1552 Finley Chapel Rd, Wellston, OH 45692-9775 | 2007-06-27 |
| 1073911806 | Jennifer Lucille Gill | Licensed Practical Nurse | 504 E 7th St, Wellston, OH 45692-1924 | 2014-12-10 |
| 1750708830 | Krista Efaw | Licensed Practical Nurse | 1180 Adelphia State Rd, Wellston, OH 45692-9711 | 2014-03-26 |
| Find all providers in WELLSTON | ||||
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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.