TAYLOR K WALLACE (NPI# 1174133052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174133052 |
Entity Type | Individual |
Full Name | TAYLOR K WALLACE |
Credential | CNA |
Practice Address |
13525 Bartram Park Blvd Unit 1538 Jacksonville FL 32258-5271 |
Practice Telephone | 8168326319 |
Mailing Telephone | 8168326319 |
Enumeration Date | 2020-08-05 |
Last Update Date | 2020-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376K00000X | Nurse's Aide | 386143 | FL | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659921229 | Taylor Ann Wallace | Occupational Therapy Assistant | 4257 Rufe Snow Dr Apt 622, North Richland Hills, TX 76180-8572 | 2019-09-16 |
1104472760 | Taylor Wallace | Technician | 2791 S 2475 E, Salt Lake Cty, UT 84109-1825 | 2019-08-09 |
1689186728 | Taylor Kiana Wallace | Speech-Language Pathologist | 101 Uhland Rd, San Marcos, TX 78666-6630 | 2017-10-30 |
1982028270 | Taylor Wallace | Chiropractor | 430 South Elm Street, Bald Knob, AR 72010-1177 | 2014-02-07 |
Street Address |
13525 BARTRAM PARK BLVD UNIT 1538 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32258-5271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
Find all providers in zip 32258 |
Taxonomy Code | 376K00000X |
Grouping | Nursing Service Related Providers |
Classification | Nurse's Aide |
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
---|---|---|---|---|
1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
1205433943 | Shannon Ethridge | Nurse's Aide | 3006 Ribault Scenic Dr, Jacksonville, FL 32208-2477 | 2020-10-06 |
1497366488 | Christina L Roberts | Nurse's Aide | 6028 Chester Ave Ste 206d, Jacksonville, FL 32217-2285 | 2020-08-12 |
1861001745 | Jessica Michelle Mccree Braddy | Nurse's Aide | 8942 8th Ave, Jacksonville, FL 32208-2142 | 2020-07-28 |
1124636154 | Tamra Coffee Mikell | Nurse's Aide | 2875 Tate Ct, Jacksonville, FL 32218-8873 | 2020-07-15 |
1063033793 | Toilicia Danielle Sylvia Walker | Nurse's Aide | 239 E 43rd St, Jacksonville, FL 32208-5306 | 2020-05-05 |
1396366753 | Angel Taylor | Nurse's Aide | 6316 Solandra Dr, Jacksonville, FL 32210-7208 | 2020-04-27 |
1124647672 | Lapatra Fisher | Nurse's Aide | 7452 John F Kennedy Dr W, Jacksonville, FL 32219-3516 | 2020-04-15 |
1013541531 | Monica Mccutchen | Nurse's Aide | 5556 Ashleigh Park Dr, Jacksonville, FL 32244-7832 | 2020-02-24 |
1063045094 | Odoms Tlc Homecare Service | Nurse's Aide | 1600 Lansdowne Dr Apt 609, Jacksonville, FL 32211-9010 | 2020-02-18 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32258 |
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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.