ASHLEY L WALLACE


Address: 8801 S 101st East Ave, Tulsa, OK 74133
Phone: 9182944281

ASHLEY L WALLACE (NPI# 1194227744) 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) 1194227744
Entity Type Individual
Full Name ASHLEY L WALLACE
Credential RN
Practice Address 8801 S 101st East Ave
Tulsa
OK 74133
Mailing Address 1620 E Pasadena St
Broken Arrow
OK 74011-5106
Practice Telephone 9182944281
Mailing Telephone 9186910195
Enumeration Date 2018-02-28
Last Update Date 2018-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 80320 OK Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
F06180461 OK Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1620 E Pasadena St, Broken Arrow, OK 740115106 9186910195

Other Providers ASHLEY WALLACE

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1548410863 Ashley Smith Wallace Nurse Practitioner Duke University Hospital South, 200 Trent Drive-clinic 2d, Durham, NC 27710-0001 2008-09-23
1912552035 Ashley Wailes Wallace Physical Therapist 3292 E Willow St, Signal Hill, CA 90755-2309 2019-08-06
1679133573 Ashley Lynette Wallace Nurse Practitioner 1400 8th Ave, Fort Worth, TX 76104-4110 2019-06-13
1972070068 Ashley Lynne Wallace Occupational Therapy Assistant 1000 Us Highway 82 E, Sherman, TX 75090-1704 2018-10-27
1942719612 Ashley Wallace Peer Specialist 1219 K St Nw, Ardmore, OK 73401-1801 2017-09-26
1417466236 Ashley Wallace Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2017-09-25
1770951394 Ashley Kathleen Wallace Behavioral Analyst 11 Huron Dr, Natick, MA 01760-1336 2015-09-14
1699157099 Ashley Wallace Social Worker 425 Broadway St, Paducah, KY 42001-0713 2015-06-22

Office Location

Street Address 8801 S 101ST EAST AVE
City TULSA
State OK
Zip Code 74133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972509727 Wayne Joseph Gartner Nurse Anesthetist, Certified Registered 8801 S 101st East Ave, Tulsa, OK 74133-5716 2005-06-27
1932727047 Ashley Rae Flowers Student in an Organized Health Care Education/Training Program 8801 S 101st East Ave, Tulsa, OK 74133-5716 2020-07-07
1023669694 Heather Nicole Chase Physician Assistant 8801 S 101st East Ave, Tulsa, OK 74133-5716 2019-09-25
1194285825 Kerri Francis Dietitian, Registered 8801 S 101st East Ave, Tulsa, OK 74133-5716 2019-03-20
1174034003 Teresa Kathryn Hundley Nurse Practitioner 8801 S 101st East Ave, Tulsa, OK 74133-5716 2017-10-18
1043751241 Mallory Crutchfield Dietitian, Registered 8801 S 101st East Ave, Tulsa, OK 74133-5716 2017-03-20
1548701949 Jennifer T Watkins Dietitian, Registered 8801 S 101st East Ave, Tulsa, OK 74133-5716 2017-03-17
1013456326 Ahs Southcrest Hospital, LLC Dietitian, Registered 8801 S 101st East Ave, Tulsa, OK 74133-5716 2017-02-20
1124564075 Emily Hutchinson Nurse Practitioner 8801 S 101st East Ave, Tulsa, OK 74133-5716 2017-01-17
1902263270 Carl Jackson Physician Assistant 8801 S 101st East Ave, Tulsa, OK 74133-5716 2016-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932725058 Economy Pharmacy Pharmacy 10120 E 91st, Tulsa, OK 74133 2020-06-24
1710539424 Fresenius Medical Care Tulsa, LLC Clinic/Center 9310 East 91st Street, Tulsa, OK 74133 2019-07-12
1003382060 Carefirst Pharmacy Tulsa, Inc. Pharmacy 6214 S. Sheridan Rd, Tulsa, OK 74133 2018-10-17
1003397332 Adekemi Taiwo Nurse Practitioner Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 2018-08-24
1346732013 Lauren Nichols Dentist 7707 E 111th St Ste 105, Tulsa, OK 74133 2018-05-30
1699264259 Courtney N Johnson, Pllc Dentist 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 2018-05-08
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1851800825 Seyva LLC Clinic/Center 8522 S 70th E Ave, Tulsa, OK 74133 2017-09-21
1477072031 Amanda Dawn Long Registered Nurse 10507 E 91st St Ste 310, Tulsa, OK 74133 2017-09-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063011831 Venvisor Health Oklahoma LLC Nurse Practitioner 1831 E 71st St # 4213, Tulsa, OK 74136-3922 2020-10-22
1235742941 Emily Christine Cobbs Nurse Practitioner 5740 E 29th St, Tulsa, OK 74114-6408 2020-08-24
1184234742 Jenni Rigney Nurse Practitioner 1713 S Peoria Ave Ste A, Tulsa, OK 74120-6801 2020-08-07
1477163087 Amy Marie Thomas Nurse Practitioner 9001 S 101st East Ave Ste 200, Tulsa, OK 74133-5711 2020-08-07
1225653512 Channel Johnson Nurse Practitioner 766 N Zenith Ave, Tulsa, OK 74127-5232 2020-06-11
1326663857 Bethany Lemley Nurse Practitioner 1217 S Atlanta Pl, Tulsa, OK 74104-4310 2020-06-10
1952939340 Kairie Swift Nurse Practitioner 3321 S Yale Ave, Tulsa, OK 74135-8011 2020-03-31
1023642899 Shannon Lee Davis Nurse Practitioner 1400 S Boston Ave, Tulsa, OK 74119-3612 2020-03-02
1871126573 Chelsea Allen Nurse Practitioner 9175 S Yale Ave Ste 220, Tulsa, OK 74137-4043 2020-02-20
1982255352 Crystal L Gazda Nurse Practitioner 4103 S Yale Ave Ste C, Tulsa, OK 74135-6002 2019-09-26
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Competitor

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City TULSA
Zip Code 74133

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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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