TIFFANY R WALLACE (NPI# 1417563735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417563735 |
Entity Type | Individual |
Full Name | TIFFANY R WALLACE |
Practice Address |
78 4th Ave Apt 3 Montgomery WV 25136-2434 |
Practice Telephone | 6819454333 |
Mailing Telephone | 6819454333 |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841794914 | Tiffany Wallace | Occupational Therapy Assistant | 1271 Stationside Dr, Oakland, FL 34787-8944 | 2018-03-22 |
1184995268 | Tiffany Wallace | Registered Nurse | 584 Thomas S Boyland St, Brooklyn, NY 11212-5044 | 2012-01-20 |
1689802662 | Tiffany Dawn Wallace | Physical Therapist | 1717 S Orange Ave Ste 101, Orlando, FL 32806-2946 | 2009-06-29 |
1972901825 | Tiffany Wallace | Technician, Other | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-09 |
1518264373 | Tiffany Astra Wallace | Case Manager/Care Coordinator | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2011-02-14 |
1760586176 | Tiffany Lynn Wallace | Psychologist | 8623 N Wayne Road, Hegira Programs Inc Ste 310, Westland, MI 48185 | 2006-09-08 |
Street Address |
78 4TH AVE APT 3 |
City | MONTGOMERY |
State | WV |
Zip Code | 25136-2434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
1295809507 | Lou Ann Bowen | Anesthesiology | 401 6th Ave, Montgomery, WV 25136-0270 | 2006-11-20 |
1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
Find all providers in zip 25136 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442050 | Patrick J Flanery | Technician | 1005 1st Ave, Montgomery, WV 25136-2377 | 2020-09-17 |
1194336230 | Jamie Criner | Technician | 320 Morris Dr, Montgomery, WV 25136-2335 | 2020-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
Find all providers with the same taxonomy |
City | MONTGOMERY |
Zip Code | 25136 |
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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.