MS. EVA ANNMAE WALLACE (NPI# 1205222619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205222619 |
| Entity Type | Individual |
| Full Name | MS. EVA ANNMAE WALLACE |
| Credential | RN |
| Practice Address |
1539 Ne 22nd Ave Suite A Ocala FL 34470-4761 |
| Practice Telephone | 3523697860 |
| Mailing Telephone | 3523697860 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN9208381 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RN LICENSE | RN9208381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928283 | Eva Alicja Wallace | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-08-17 |
| Street Address |
1539 NE 22ND AVE SUITE A |
| City | OCALA |
| State | FL |
| Zip Code | 34470-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770553018 | Pediatric Primary Care Foundation, Inc. | Voluntary or Charitable | 1539 Ne 22nd Ave, Suite A, Ocala, FL 34470-4761 | 2006-01-26 |
| 1346608759 | Carole Lynch | Registered Nurse | 1539 Ne 22nd Ave, Suite A, Ocala, FL 34470-4761 | 2016-02-01 |
| 1629446802 | Yun Suk Manchester | Case Manager/Care Coordinator | 1539 Ne 22nd Ave, Ocala, FL 34470-4761 | 2015-09-04 |
| 1750654182 | Jessica Lyn Messenger | Case Manager/Care Coordinator | 1539 Ne 22nd Ave, Suite A, Ocala, FL 34470-4761 | 2012-02-15 |
| 1033236062 | Holly A Daniel | Registered Nurse | 1539 Ne 22nd Ave, Suite A, Ocala, FL 34470-4761 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568988947 | Quad Nurse Home Health Care LLC | Home Health | 2647 Ne 3rd Street, Suite #2, Ocala, FL 34470 | 2017-08-17 |
| 1609306208 | Samuel's Transportation, Inc. | Non-emergency Medical Transport (VAN) | 5905 Ne 3rd Pl, Ocala, FL 34470 | 2017-06-15 |
| 1932555802 | Chenora Netaschia Adjei-christie | Counselor | 3620 Ne 8th Pl Ste 5, Ocala, FL 34470 | 2016-05-10 |
| 1811363906 | Clinical Laboratory Diagnostics, LLC. | Clinical Medical Laboratory | 3855 East Silver Springs Blvd., Executive Suite 105, Ocala, FL 34470 | 2015-08-12 |
| 1659787752 | Molly Bordelon Stanford | Dentist | 4910 E Silver Springs Blvd, Ocala, FL 34470 | 2014-07-09 |
| 1346651502 | Christopher M. Pell, LLC | Chiropractor | 901 E Silver Springs Blvd, Ocala, FL 34470 | 2014-05-09 |
| 1174831242 | Lisa Buckler Wood | Massage Therapist | 611 Ne 25th Avenue, Ocala, FL 34470 | 2010-09-22 |
| 1578890349 | Diane C Bandy | Counselor | 1701 Ne 42nd Avenue, Ocala, FL 34470 | 2009-11-15 |
| 1992949341 | M Jane Foye | Family Medicine | 1515 W Silver Springs Blvd., #226, Ocala, FL 34470 | 2009-04-29 |
| 1205077005 | Robert Floyd Bitters | Hearing Instrument Specialist | 111 Ne 25th Ave, Suite 204, Ocala, FL 34470 | 2009-03-09 |
| Find all providers in zip 34470 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689825283 | Claudia M Mellucci | Registered Nurse | 1301 Se 55th Ave, Ocala, FL 34480-5007 | 2008-10-02 |
| 1578730123 | Michelle Lynn Pack | Registered Nurse | 4327 Ne 11th St, Ocala, FL 34470-2024 | 2008-05-13 |
| 1508095597 | Quincy E Pons | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2009-07-10 |
| 1972740694 | Wilhelmina W Kijoti-brown | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2009-01-16 |
| 1497901169 | Kathleen Delosi Gilbert | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2008-08-14 |
| 1023264793 | Donna Sherry Poole | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2008-08-14 |
| 1215104807 | Patricia Anne Griffith | Registered Nurse | 1515 E Silver Springs Blvd, Suite 2123, Ocala, FL 34470-6831 | 2008-05-13 |
| 1528244720 | Kathleen J Oconnor | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2008-01-17 |
| 1821279944 | Jojuan Renee Cain | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2007-11-16 |
| 1699898023 | Beverly Yvonne Leonard | Registered Nurse | 1515 E Silver Springs Blvd, Suite 213, Ocala, FL 34470-6831 | 2007-04-09 |
| Find all providers in OCALA | ||||
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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.