TAYLOR K WALLACE


Address: 13525 Bartram Park Blvd Unit 1538, Jacksonville, FL 32258-5271
Phone: 8168326319

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376K00000X Nurse's Aide 386143 FL Nursing Service Related Providers

Other Providers TAYLOR WALLACE

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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

Office Location

Street Address 13525 BARTRAM PARK BLVD UNIT 1538
City JACKSONVILLE
State FL
Zip Code 32258-5271

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 376K00000X
Grouping Nursing Service Related Providers
Classification Nurse's Aide

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32258

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Dataset Information

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.

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