MRS. KRISTIN NICOLE WALLACE (NPI# 1366745804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366745804 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN NICOLE WALLACE |
| Credential | M.S., OTR |
| Practice Address |
1506 S Oneida St Appleton WI 54915-1305 |
| Mailing Address |
2935 N Rankin St Appleton WI 54911-1518 |
| Practice Telephone | 9207382000 |
| Mailing Telephone | 9206592887 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437455219 | Kristin Marie Wallace | Occupational Therapist | 2110 Washington Blvd Ste. 158, Arlington, VA 22204 | 2011-01-27 |
| 1922303007 | Kristin Kirby Wallace | Counselor | 4256 Four Lakes Dr, Melbourne, FL 32940-1222 | 2011-01-20 |
| 1154931129 | Kristin Wallace | Social Worker | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2020-08-05 |
| 1568749026 | Kristin Renee Wallace | Pharmacist | 3510 Evergreen Pkwy, Evergreen, CO 80439-7707 | 2011-11-11 |
| Street Address |
1506 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828654 | Gladys Beth Michaelson | Registered Nurse | 1506 S Oneida St, Appleton, WI 54915-1305 | 2005-08-19 |
| 1184249773 | Allison Nierode | Student in an Organized Health Care Education/Training Program | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-10 |
| 1700401429 | Amanda Sue Mansfield | Occupational Therapy Assistant | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-06-09 |
| 1063044782 | Rebecca Ann Kloehn | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-02-11 |
| 1124658422 | Jeremy Scott Wells | Registered Nurse | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-01-25 |
| 1477104388 | Hitomi Gunsolley | Psychologist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-09-23 |
| 1861045957 | Brianna M Montano | Counselor | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-18 |
| 1902458177 | Kelsey Gregory | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-09 |
| 1700442100 | Maija K West | Occupational Therapist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-13 |
| 1750947263 | Samuel Markert | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068091 | Cathy M Olson | Specialist | 3305c North Ballard Rd., Appleton, WI 54911-9001 | 2007-04-02 |
| 1265490437 | Timothy Ivan Zuck | Specialist | 5395 Michaels Dr, Appleton, WI 54913-8447 | 2006-05-03 |
| 1699777144 | Mark John Scherer | Specialist | 610 E Longview Dr, Appleton, WI 54911-2149 | 2005-08-15 |
| 1679948566 | Padraic Obma, M.d., S.c. | Specialist | 2105 E Enterprise Ave, Suite 112, Appleton, WI 54913-7862 | 2015-12-03 |
| 1881077295 | Kayla B Schneider | Specialist | 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 | 2015-07-02 |
| 1144570870 | Kenneth L. Schaufelberger, M.d., S.c. | Specialist | 2105 E Enterprise Ave, Appleton, WI 54913-7862 | 2012-09-10 |
| 1043461460 | Fox Valley Gastroenterology, S.c. | Specialist | 900 E Grant St, Appleton, WI 54911-3487 | 2008-10-03 |
| 1730238890 | Kagen Dermatology Clinic Sc | Specialist | 100 W Lawrence St, Suite 409, Appleton, WI 54911-5773 | 2007-01-09 |
| 1265590848 | Fox Valley Pulmonary Medicine, LLC | Specialist | 820 E Grant St, Suite S 250, Appleton, WI 54911-3483 | 2006-12-05 |
| 1063521714 | Lee W Hash | Specialist | 1531 S Madison St, Appleton, WI 54915-1800 | 2006-08-29 |
| Find all providers in APPLETON | ||||
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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.