THERESA MARIE WALLACE (NPI# 1467990572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467990572 |
| Entity Type | Individual |
| Full Name | THERESA MARIE WALLACE |
| Credential | LVN |
| Practice Address |
3230 Waring Ct Suite A Oceanside CA 92056-4509 |
| Practice Telephone | 7603057528 |
| Practice Fax Number | 7605094410 |
| Mailing Telephone | 7603057528 |
| Mailing Fax Number | 7605094410 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 686554 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498039 | Theresa Wallace | Home Health Aide | 1200 Ac Evans St Apt 2, Riviera Beach, FL 33404-2063 | 2018-08-27 |
| 1063947018 | Theresa Wallace | Home Health Aide | 2201 1/2 Roslyn Ave, Apt 203, Baltimore, MD 21216-2522 | 2017-04-27 |
| 1497096333 | Theresa Wallace | Behavioral Analyst | 147-26 18th Ave, Whitestone, NY 11357-3108 | 2013-03-01 |
| 1124688445 | Theresa Marie Wallace | Pharmacist | 2701 S Minnesota Ave Ste 1, Sioux Falls, SD 57105-4787 | 2019-06-18 |
| 1578627931 | Theresa Wallace | Physical Therapist | 8833 Gross Point Rd, Skokie, IL 60077-1859 | 2006-12-20 |
| 1801842091 | Theresa C Wallace | Family Medicine | 95 Madison Ave, Suite 101, Morristown, NJ 07960 | 2006-05-26 |
| Street Address |
3230 WARING CT SUITE A |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619949443 | Anna E Lee | Pediatrics | 3230 Waring Ct, Ste J, Oceanside, CA 92056-4509 | 2006-02-06 |
| 1750829834 | Darla Slater-troum | Licensed Vocational Nurse | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2017-02-08 |
| 1497292981 | Diane Louise Hilz | Licensed Vocational Nurse | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2017-01-23 |
| 1306392816 | Travis Chamberlin Tyler | Counselor | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2016-08-26 |
| 1427501063 | Zachary Martinez | Counselor | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2016-08-01 |
| 1114310083 | Anna E Lee, M.d., Medical Corporation | Clinic/Center | 3230 Waring Ct, Suite J, Oceanside, CA 92056-4509 | 2015-03-16 |
| 1871984302 | Kimber Jean Kuhl | Counselor | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2015-02-05 |
| 1578968301 | Deborah Flamino | Counselor | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2014-10-22 |
| 1699188458 | Mario Ulloa | Counselor | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2014-06-09 |
| 1114337052 | Kristen Charlton | Counselor | 3230 Waring Ct, Suite A, Oceanside, CA 92056-4509 | 2014-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1275159725 | Ashley Garcia | Licensed Vocational Nurse | 3915 Mesa Dr Apt 207, Oceanside, CA 92056-2619 | 2020-06-21 |
| 1356823975 | Sarah W Njoroge | Licensed Vocational Nurse | 4066 Craven Rd Unit 58, Oceanside, CA 92057-7388 | 2018-08-30 |
| 1912455882 | Ariana Williams | Licensed Vocational Nurse | 5055 Andrew Jackson St, Oceanside, CA 92057-4402 | 2016-09-20 |
| 1477958221 | Heather Pierce | Licensed Vocational Nurse | 122 S Clementine St, Apt. 2 B, Oceanside, CA 92054-3090 | 2014-10-22 |
| 1841691342 | Jennifer Tomiko Wilson | Licensed Vocational Nurse | 1919 Apple St Ste F&g, Oceanside, CA 92054-4492 | 2014-09-16 |
| 1346670569 | Melisa Quinn | Licensed Vocational Nurse | 246 Sophia Way, Oceanside, CA 92057-7367 | 2013-11-25 |
| 1285976761 | Lawrence Ruffo | Licensed Vocational Nurse | 1738 South Trentmont Street, Oceanside, CA 92054 | 2013-03-21 |
| 1306101779 | Melissa Lydia Gore | Licensed Vocational Nurse | 2884 Macdonald St, Oceanside, CA 92054-4532 | 2012-07-11 |
| 1831450360 | Dian Margaret Orr | Licensed Vocational Nurse | 389 Moonstone Bay Dr, Oceanside, CA 92057-3426 | 2012-05-31 |
| Find all providers in OCEANSIDE | ||||
Please comment or provide details below to improve the information on THERESA MARIE 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.