SARA WALLACE (NPI# 1447895776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447895776 |
| Entity Type | Individual |
| Full Name | SARA WALLACE |
| Credential | LPA |
| Practice Address |
11824 Ransum Dr Louisville KY 40243-2802 |
| Practice Telephone | 5023380608 |
| Practice Fax Number | 5022451888 |
| Mailing Telephone | 5023380608 |
| Mailing Fax Number | 5022451888 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
260061 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804320 | Sara Wallace | Psychologist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-06-02 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1417278995 | Sara Jane Wallace | Social Worker | 6407 Austinburg Rd, Ashtabula, OH 44004-9306 | 2010-06-18 |
| 1659460087 | Sara A Wallace | Chiropractor | 17903 Roy St, Lansing, IL 60438-2327 | 2006-10-12 |
| 1750908174 | Sara Davis Wallace | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2020-07-01 |
| 1447764030 | Sara Michelle Wallace | Case Manager/Care Coordinator | 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 | 2017-11-19 |
| 1114464310 | Sara W Wallace | Nurse Practitioner | 950 Sanders Rd, Cumming, GA 30041-5960 | 2017-01-25 |
| 1356576185 | Sara Elizabeth Wallace | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2009-05-22 |
| 1811142557 | Sara N Wallace | Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | 2008-11-21 |
| 1619993334 | Sara Jane Wallace | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2006-07-14 |
| Street Address |
11824 RANSUM DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548628720 | Ayana Croff | Student in an Organized Health Care Education/Training Program | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2016-02-03 |
| 1518573302 | Emily Dean | Student in an Organized Health Care Education/Training Program | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2020-09-17 |
| 1295340339 | Skyler Paige Mitchell | Student in an Organized Health Care Education/Training Program | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2020-09-15 |
| 1134762370 | Jessica Nicole Dowell | Psychologist | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-10-21 |
| 1730720129 | Irina Alexandrovna Vanzhula | Student in an Organized Health Care Education/Training Program | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-10-07 |
| 1760031967 | Christina Jones | Registered Nurse | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-09-10 |
| 1609422799 | Leigh Cara Brosof | Student in an Organized Health Care Education/Training Program | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-08-14 |
| 1235696881 | Broderick Sawyer | Psychologist | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-03-01 |
| 1811452956 | Brenda Arellano | Psychologist | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-02-03 |
| 1992277412 | Lindsay Alexis James | Social Worker | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1013495902 | Melissa Ann Gibson | Psychologist | 6500 Glenridge Park Pl Ste 3, Louisville, KY 40222-3450 | 2018-08-01 |
| 1437645934 | Flourish Louisville | Psychologist | 6000 Brownsboro Park Blvd Ste A, Louisville, KY 40207-7201 | 2018-07-09 |
| 1982197737 | Louisville Center for Eating Disorders LLC | Psychologist | 11824 Ransum Dr # 200, Louisville, KY 40243-2802 | 2018-06-07 |
| 1801305461 | Elizabeth Swabek | Psychologist | 3703 Taylorsville Rd Ste 221, Louisville, KY 40220-1331 | 2017-09-27 |
| 1487173712 | The Wright Psychology and Learning Center, Pllc | Psychologist | 4010 Dupont Cir Ste 401, Louisville, KY 40207-4887 | 2017-09-19 |
| 1013371699 | Deshields Behavioral Wellness, Inc. | Psychologist | 2515 Gardiner Ln, Louisville, KY 40205-3003 | 2016-04-08 |
| 1851767974 | Clement Street Russell | Psychologist | 912 Lily Creek Rd, #201, Louisville, KY 40243-2815 | 2015-08-12 |
| 1306235452 | Katrina Mcbride | Psychologist | 6009 Brownsboro Park Blvd Ste C, Louisville, KY 40207-1291 | 2015-01-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
Please comment or provide details below to improve the information on SARA WALLACE.
| 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.