JENNIFER WALLACE (NPI# 1174926984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174926984 |
| Entity Type | Individual |
| Full Name | JENNIFER WALLACE |
| Credential | MS, ATC/L |
| Practice Address |
806 Patton Chapel Trl Hoover AL 35226-2254 |
| Practice Telephone | 2564361165 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1197 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968440 | Jennifer Wallace | Technician/Technologist | 2041 E 3rd Dr, Mesa, AZ 85204-1401 | 2020-07-06 |
| 1497249882 | Jennifer Laird Wallace | Licensed Practical Nurse | 4468 Duff Rd, Livingston, TX 77351-5627 | 2018-06-19 |
| 1124579602 | Jennifer Marie Wallace | Acupuncturist | 237 Avenida Del Norte, Redondo Beach, CA 90277-5702 | 2016-10-19 |
| 1295083897 | Jennifer Wallace | Psychologist | 4226 Green Lake Rd, West Bloomfield, MI 48323-1139 | 2012-08-29 |
| 1669799086 | Jennifer Renea Wallace | Counselor | 3802 W University Blvd Apt 8104, Durant, OK 74701-3047 | 2010-04-24 |
| 1306035431 | Jennifer L Wallace | Physical Therapist | 3891 50th Ave S, Saint Petersburg, FL 33711-4811 | 2007-10-15 |
| 1316974058 | Jennifer Wallace | Speech-Language Pathologist | 1901 Century Blvd Ne Ste 20, Atlanta, GA 30345-3300 | 2006-06-27 |
| 1992766570 | Jennifer P Wallace | Specialist | 64400 E 26th Ct, Byers, CO 80103-8539 | 2006-03-31 |
| 1730154154 | Jennifer Lyn Wallace | Family Medicine | 1235 Se Division St, Suite 208, Portland, OR 97202-1099 | 2006-02-20 |
| 1699760934 | Jennifer L Wallace | Internal Medicine | 7720 Jones Maltsberger, Suite 110, San Antonio, TX 78216 | 2005-09-13 |
| Street Address |
806 PATTON CHAPEL TRL |
| City | HOOVER |
| State | AL |
| Zip Code | 35226-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618287 | Celena Kemp | Counselor | 500 Southland Drive, Suite 204, Hoover, AL 35226 | 2019-09-16 |
| 1124674916 | Donna Mcgrath Drouin | Technician | 720 Preserve Way, Hoover, AL 35226 | 2019-08-16 |
| 1932619780 | Lyndsey W Baxley | Occupational Therapist | 700 Century Park South, Suite 128, Birmingham, AL 35226 | 2017-10-06 |
| 1093182628 | Julie Strange | Specialist/Technologist | 1778 Cornwall Road, Hoover, AL 35226 | 2015-08-31 |
| 1063836765 | Mohamed Hassan | Emergency Medicine | 5569 Grove Blvd, Hoover, AL 35226 | 2014-02-15 |
| 1598105298 | Sarah Quinney | Nurse Practitioner | 2117 White Way, Birmingham, AL 35226 | 2013-06-27 |
| 1588003388 | Asia Julia Gorg | Counselor | 5414 Colony Way, Hoover, AL 35226 | 2013-06-14 |
| 1962780197 | Sudeep Raj Aryal | Internal Medicine | 990 Tyler Crest Ln, Hoover, AL 35226 | 2011-07-21 |
| 1043504483 | Rachel Lee Campbell | Behavioral Analyst | 3002 Asbury Park Place, Vestavia Hills, AL 35226 | 2011-06-02 |
| 1538489190 | Madhav V Devani | Internal Medicine | 3635 Market St Ste A, Birmingham, AL 35226 | 2010-06-07 |
| Find all providers in zip 35226 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505906 | Lauren Julich | Specialist/Technologist | 2012 Crossvine Rd, Hoover, AL 35244-1512 | 2020-03-31 |
| 1982059986 | Jody Boyles | Specialist/Technologist | 2949 John Hawkins Parkway, Hoover, AL 35244 | 2016-04-27 |
| 1093182628 | Julie Strange | Specialist/Technologist | 1778 Cornwall Road, Hoover, AL 35226 | 2015-08-31 |
| 1518315605 | James Harold Metcalf | Specialist/Technologist | 2949 John Hawkins Pkwy, Hoover, AL 35244-1095 | 2016-05-30 |
| 1528422789 | Emma Morozowsky | Specialist/Technologist | 2949 John Hawkins Pkwy, Hoover, AL 35244-1095 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1114524261 | David B Bentley | Specialist/Technologist | 1121 Williamsburg Dr, Mobile, AL 36695-3541 | 2020-10-01 |
| 1114533023 | Gregory Blake Revette | Specialist/Technologist | 910 Warrior Dr, Centre, AL 35960-1099 | 2020-09-17 |
| 1710590567 | Jessica Snider | Specialist/Technologist | 300 Cedars Rd, Munford, AL 36268-7105 | 2020-08-30 |
| 1427660158 | Faith Anneliese Monroe | Specialist/Technologist | 229 Dozier Dr Apt 415, Troy, AL 36081-3040 | 2020-08-24 |
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1972115616 | Hannah Grace Foster | Specialist/Technologist | 4031 Wiregrass Dr, Dothan, AL 36301-9500 | 2020-08-22 |
| 1609493089 | James David Bush | Specialist/Technologist | 1147 Highway 231 S Ste 9&10, Troy, AL 36081-3026 | 2020-07-01 |
| 1245850338 | Krishanna Le'mya Johnson | Specialist/Technologist | 4590 Mccalla Trace Pkwy, Bessemer, AL 35022-5490 | 2020-04-20 |
| 1508494220 | Miranda E Slack | Specialist/Technologist | 525 Frank Thomas Ave Apt 5, Tuscaloosa, AL 35401-2265 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
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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.