STACY WALLACE (NPI# 1386264109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386264109 |
| Entity Type | Individual |
| Full Name | STACY WALLACE |
| Practice Address |
324 Kenilworth Ave Toledo OH 43610-1456 |
| Practice Telephone | 4198100900 |
| Mailing Telephone | 4198100900 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | RX730744 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 85052075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131866 | Stacy Ann Wallace | Naturopath | 3976 East Harbor Road, Langley, WA 98260 | 2018-10-25 |
| 1487896668 | Stacy L Wallace | Dietitian, Registered | 20330 Huebner Rd, Suite 104, San Antonio, TX 78258-3508 | 2009-04-02 |
| 1952876641 | Stacy Rose Wallace | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2018-10-09 |
| 1003249848 | Stacy Lea Wallace | Counselor | 540 Illinois St, Pawnee, OK 74058-2036 | 2013-08-15 |
| 1205843422 | Stacy Wallace | Nurse Practitioner | 1702 N Alamo St, Suite 220, San Antonio, TX 78215-1201 | 2006-08-01 |
| Street Address |
324 KENILWORTH AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43610-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871913335 | Lydia Ann Morris | Registered Nurse | 2860 Glenwood Ave, Toledo, OH 43610 | 2014-04-23 |
| 1831431535 | Catherine Frances Sanders | Registered Nurse | 3350 Collingwood Ave., Toledo, OH 43610 | 2013-03-20 |
| 1477846178 | Carla Janeen Cavanaugh | Licensed Practical Nurse | 2912 Parkwood Ave, Toledo, OH 43610 | 2011-05-27 |
| 1861987240 | Kimberley Hueston | Technician, Other | 3350 Collingwood Blvd, Toledo, OH 43610 | 2018-06-27 |
| 1942617527 | Jennifer Delaney | Nurse Practitioner | 3350 Collingwood Blvd, Toledo, OH 43610 | 2014-07-16 |
| 1477996387 | Janice Ann Graving | Social Worker | 3350 Collingwood, Toledo, OH 43610 | 2013-04-10 |
| 1457679888 | Darrah Samuel Okeke | Registered Nurse | 3350 Collingwood Blvd, Toledo, OH 43610 | 2010-05-10 |
| 1790102929 | Andrea Gant | Homemaker | 3115 Glenwood Ave, Toledo, OH 43610-1018 | 2014-03-26 |
| 1427329473 | Debra's Home Care / Residental Facilities / Educational Services | Preferred Provider Organization | 3338 Maplewood Ave, Toledo, OH 43610-1035 | 2012-01-23 |
| 1699153577 | Robert Spearman | Home Health Aide | 3321 Maplewood Ave, Toledo, OH 43610-1036 | 2015-05-12 |
| Find all providers in zip 43610 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786437 | Kisha Slater | Driver | 519 W Delaware Ave, Toledo, OH 43610-1310 | 2020-09-25 |
| 1821604034 | Yolanda Nicole Swain | Driver | 758 W Poinsetta Ave, Toledo, OH 43612-3246 | 2020-09-22 |
| 1326679697 | James Lawrn Adams | Driver | 4445 Merry Ln, Toledo, OH 43615-6034 | 2020-01-27 |
| 1164062568 | Meoki Johnson | Driver | 4460 Airport Hwy Apt 61, Toledo, OH 43615-7653 | 2020-01-14 |
| 1508321381 | Denise Cornelius | Driver | 2438 Auburn Ave, Toledo, OH 43606-4210 | 2019-02-05 |
| 1073082814 | Abdulqaadir Henry Henry | Driver | 4353 Overland Pkwy, Toledo, OH 43612-2116 | 2018-11-23 |
| 1932610631 | Tracy Price | Driver | 4353 W Sylvania Ave, Toledo, OH 43623-3425 | 2017-10-20 |
| 1528458536 | Marietta Garrett | Driver | 419 W Manhattan Blvd, Toledo, OH 43608-1065 | 2015-01-28 |
| 1437402443 | Jason M Rush | Driver | 5444 Cresthaven Ln, Toledo, OH 43614-1218 | 2012-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528254 | Crystal Lynn Carlton | Driver | 463 Regency Park Dr, Tallmadge, OH 44278-1503 | 2020-11-05 |
| 1578164711 | Alvah Yolanda Hayes | Driver | 1612 33rd St Ne, Canton, OH 44714-1552 | 2020-11-04 |
| 1184225609 | Michelle Andrea | Driver | 1211 Taft Ave, Cuyahoga Falls, OH 44223-2243 | 2020-11-02 |
| 1851990501 | Mildred J Yost | Driver | 2275 Greenwich Milan Townline Rd, Norwalk, OH 44857-9509 | 2020-10-23 |
| 1386242782 | Nicole D Endres | Driver | 109 N Main St Ste 209, Mansfield, OH 44902-7669 | 2020-10-16 |
| 1114525938 | June Williams | Driver | 1072 Damon Dr, Washington Court House, OH 43160-2474 | 2020-10-14 |
| 1063010999 | Julia Marie Morris | Driver | 860 Tick Hill Rd, Lowell, OH 45744-7492 | 2020-10-13 |
| 1548868532 | Mildred Elaine Rose | Driver | 8043 Plainfield Rd, Kimbolton, OH 43749-9736 | 2020-10-13 |
| 1982202008 | Julie Perry | Driver | 8423 Columbus Rd, Mount Vernon, OH 43050-9366 | 2020-10-12 |
| 1447858618 | Marc Speakman | Driver | 3911 Mengert Rd, Lucas, OH 44843-9741 | 2020-10-11 |
| Find all providers with the same taxonomy | ||||
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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.