BONNIE JEAN WALLACE (NPI# 1346778511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346778511 |
| Entity Type | Individual |
| Full Name | BONNIE JEAN WALLACE |
| Credential | MED |
| Practice Address |
205 School St. # 202 Gardner MA 01440 |
| Mailing Address |
Po Box 37 Fitzwilliam NH 03447-0037 |
| Practice Telephone | 9786322321 |
| Mailing Telephone | 6035859010 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437402229 | Bonnie Merritt Wallace | Physician Assistant | 3304 Cooley Ct, Portage, MI 49024-7430 | 2012-10-18 |
| 1770844300 | Bonnie Wallace | Nurse Practitioner | 4230 Harding Pike, Ste 330, Nashville, TN 37205-2013 | 2012-05-30 |
| Street Address |
205 SCHOOL ST. # 202 |
| City | GARDNER |
| State | MA |
| Zip Code | 01440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| 1275735300 | Kelly Ann Beaton | Registered Nurse | 9 Cross St, Gardner, MA 01440 | 2007-06-01 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039499 | Jasmine Lanice Galloway | Counselor | 22 Sawyer St, Gardner, MA 01440-3266 | 2020-10-01 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1669928586 | Courtney Tackett | Counselor | 22 Watkins St, Gardner, MA 01440-1849 | 2016-08-31 |
| 1821461328 | Donna M. St Jean | Counselor | 12 Jean St, Gardner, MA 01440-3714 | 2015-11-05 |
| 1174926208 | Jaromir Hovad | Counselor | 20 Barthel Ave, Gardner, MA 01440-2502 | 2014-10-03 |
| 1952711459 | Brittany Rood | Counselor | 101 Mechanic St, Gardner, MA 01440-3119 | 2014-05-06 |
| 1518380245 | Jerome Oliver Mckean | Counselor | 171 Crestwood Dr, Gardner, MA 01440-2326 | 2014-01-31 |
| 1134481542 | Michael Aaron Mcgrath | Counselor | 205 School St Ste 202, Gardner, MA 01440-2781 | 2012-06-12 |
| 1699912733 | Dorothy D Williams | Counselor | 205 School St Ste 301, Gardner, MA 01440-2781 | 2009-01-12 |
| 1841465424 | Charlene M Newman | Counselor | 287 Central St, Gardner, MA 01440-8311 | 2008-04-24 |
| Find all providers in GARDNER | ||||
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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.