KATHRYN JANSEN WALLACE (NPI# 1184976953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184976953 |
| Entity Type | Individual |
| Full Name | KATHRYN JANSEN WALLACE |
| Credential | NP |
| Practice Address |
14330 Oakhill Park Ln Ste 200 Huntersville NC 28078-3407 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164830 |
| Practice Fax Number | 7043164831 |
| Mailing Telephone | 7043164830 |
| Mailing Fax Number | 7043164831 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5005839 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 Hawthorne Ln Ste 200, Charlotte, NC 282042433 | 7049732106 | 7049732395 |
| 14330 Oakhill Park Ln Ste 140&200, Huntersville, NC 28078 | 7043164830 | 7043164831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043599483 | Kathryn Wallace | Physical Therapist | 2400 Trenton Rd, Levittown, PA 19056-1425 | 2011-08-16 |
| 1639254246 | Kathryn Susan Wallace | Physical Therapist | 2373 Delo Dr, Gibsonia, PA 15044-9158 | 2006-10-25 |
| 1548629595 | Kathryn Ann Wallace | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2016-02-18 |
| 1831578012 | Kathryn Nicole Wallace | Physical Therapist | 320 Alisal Rd Ste 406, Solvang, CA 93463-3750 | 2015-05-21 |
| 1598052920 | Kathryn D Wallace | Occupational Therapist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2011-07-06 |
| 1407965320 | Kathryn Mary Wallace | Nurse Practitioner | 2640 Hamstrom Rd, Portage, IN 46368-3832 | 2006-08-30 |
| Street Address |
14330 OAKHILL PARK LN STE 200 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050889 | Beverly Ann Belle | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2005-08-15 |
| 1780141598 | Novant Medical Group, Inc | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2019-02-28 |
| 1649765389 | Carly Lynne Waller | Advanced Practice Midwife | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2018-06-26 |
| 1194221622 | Rachel Tanis | Nurse Practitioner | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2018-04-03 |
| 1396108411 | Jheel Shah | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2016-04-05 |
| 1104207802 | Margeaux Roman Mcgraw | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2015-06-18 |
| 1376511394 | Hillary A Robinowitz-elins | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078 | 2006-03-08 |
| 1548240963 | Michael John Sexton | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710497011 | Mary-anne Jones Mimier | Nurse Practitioner | 16623 Birkdale Commons Pkwy Ste 110, Huntersville, NC 28078-5622 | 2017-10-02 |
| 1669996914 | Sonni May Sly | Nurse Practitioner | 9800 Kincey Ave Ste 150, Huntersville, NC 28078-8405 | 2017-07-28 |
| 1245620079 | Christina Harrison | Nurse Practitioner | 10210 Hickorywood Hill Ave Ste 200, Huntersville, NC 28078-3417 | 2015-02-02 |
| 1700163771 | Jessica Lynn Crull | Nurse Practitioner | 12905 Rosedale Hill Avenue, Huntersville, NC 28078-0328 | 2011-11-04 |
| 1992844492 | Nicole Leigh Chappell | Nurse Practitioner | 14330 Oakhill Park Lane, Suite 100, Huntersville, NC 28078-3409 | 2007-02-05 |
| 1922071570 | Stacy K. Mullet | Nurse Practitioner | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 | 2006-02-13 |
| 1356314348 | Josette Giuffrida | Nurse Practitioner | 9615 Kincey Ave, Suite 100, Huntersville, NC 28078-9140 | 2006-02-09 |
| 1871135673 | Krystal Marie Elizabeth Allen | Nurse Practitioner | 10030 Gilead Road, Huntersville, NC 28078 | 2019-10-14 |
| 1841831690 | Cynthia Ambroise | Nurse Practitioner | 16455 Statesville Rd Ste 360, Huntersville, NC 28078-7139 | 2019-10-02 |
| 1780237115 | Kristen Whitten | Nurse Practitioner | 16455 Statesville Rd, Ste 200, Huntersville, NC 28078-7135 | 2019-07-24 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.