MRS. TERESA WALLACE (NPI# 1497709703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497709703 |
| Entity Type | Individual |
| Full Name | MRS. TERESA WALLACE |
| Credential | MS, F-AAA |
| Practice Address |
1700 S Lincoln Ave Lebanon PA 17042-7529 |
| Mailing Address |
306 Ramblewood Ln Lebanon PA 17042-9407 |
| Practice Telephone | 7172726621 |
| Practice Fax Number | 7172285970 |
| Mailing Telephone | 7172726621 |
| Mailing Fax Number | 7172285970 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AT005862 | PA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600081 | Teresa Wallace | Licensed Practical Nurse | 2 Rifkin Ct, Spring Valley, NY 10977-2236 | 2018-12-05 |
| 1225357635 | Teresa M Wallace | Nurse Practitioner | 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 | 2010-05-25 |
| 1417026402 | Teresa H. Wallace | Speech-Language Pathologist | 1511 Copper Creek Dr, Owensboro, KY 42303-1797 | 2006-11-06 |
| 1154966984 | Teresa Michelle Wallace | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-11-15 |
| 1871509646 | Teresa L Wallace | Family Medicine | 3915 Talbot Rd S, Ste 401, Renton, WA 98055-5738 | 2006-07-31 |
| Street Address |
1700 S LINCOLN AVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680015 | Michael L Heck Jr. | Nurse Anesthetist, Certified Registered | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2005-09-22 |
| 1972115806 | Carolyn L Ringler | Registered Nurse | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-21 |
| 1962014225 | Tracy Lukasiewicz | Optometrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-18 |
| 1821609512 | Ida Frances Carvell | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-14 |
| 1134730153 | Brandon Cory Vanderbrook | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-13 |
| 1588275671 | Emilie Shuler | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1578174637 | Sybil Irene Stambaugh | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1831700954 | Joseph Magnusson Jr. | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1275150559 | Alexa Nicole Spennato | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-02 |
| 1871110312 | Evan Cauterucci | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861047003 | Hearing Connections Audiology LLC | Audiologist | 2072 Stubbs Mill Rd, Lebanon, OH 45036-8703 | 2019-08-05 |
| 1659657815 | Charleene Lewis Kuhn | Audiologist | 1700 S. Lincoln Ave, Va Medical Center, Lebanon, PA 17042-9970 | 2011-11-01 |
| 1629354014 | Leela Ann Cleary | Audiologist | 374 Northwood Dr, Lebanon, PA 17042-8923 | 2011-10-29 |
| 1336765320 | Danielle N Shine | Audiologist | One Medical Center Dr, Lebanon, NH 03756-1000 | 2020-06-25 |
| 1083234652 | Elizabeth A Thompson | Audiologist | One Medical Center Dr, Lebanon, NH 03756-0001 | 2020-04-23 |
| 1619490174 | Bridget Mcneill | Audiologist | 1700 S Lincoln Ave, Lebanon, PA 17042 | 2017-07-17 |
| 1578946364 | Nicole Maynard | Audiologist | 1 Medical Center Dr, Dhmc Department of Audiology Dept. 4f, Lebanon, NH 03756-1000 | 2015-06-30 |
| 1518304070 | Lauren Nicole Segbers | Audiologist | 726 E Main St, Lebanon, OH 45036-1900 | 2013-05-23 |
| 1417232448 | Katelyn Fisher | Audiologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2011-10-21 |
| 1215216031 | Ashley Nicole Perez | Audiologist | 1 Medical Center Dr, Dhmc Department of Surgery, Lebanon, NH 03756-0001 | 2011-08-10 |
| Find all providers in LEBANON | ||||
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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.