STEPHANIE WALLACE (NPI# 1508293325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508293325 |
| Entity Type | Individual |
| Full Name | STEPHANIE WALLACE |
| Credential | RN |
| Practice Address |
127 S 500 E Suite 140 Salt Lake City UT 84102-1959 |
| Mailing Address |
175b Connor Rd Salt Lake City UT 84113-5002 |
| Practice Telephone | 8015876658 |
| Mailing Telephone | 3852025320 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 843676 | CA | Nursing Service Providers |
| Y | 163W00000X | Registered Nurse | 8317159-3102 | UT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
| 1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
| 1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
| 1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
| 1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
| 1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
| Street Address |
127 S 500 E SUITE 140 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560892 | Michael Patrick Kelly | Pharmacist | 127 S 500 E, Suite 160, Salt Lake City, UT 84102-1959 | 2005-07-01 |
| 1831274521 | Julie S Day | Family Medicine | 127 S 500 E, Suite 140, Salt Lake City, UT 84102-1959 | 2006-10-25 |
| 1558369785 | Russell Jay Ragsdale | Pharmacist | 127 S 500 E, Suite 160, Salt Lake City, UT 84102-1959 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1861006678 | Michelle Pineda | Registered Nurse | 2672 S Glenmare St, Salt Lake City, UT 84106-3606 | 2020-08-31 |
| 1982228276 | Rebecca Cuniberti | Registered Nurse | 3247 E 3925 S, Salt Lake City, UT 84124-2147 | 2020-06-02 |
| 1992329288 | Willard Robert Davis | Registered Nurse | 2150 S Main St Ste 406, Salt Lake City, UT 84115-2678 | 2020-06-02 |
| 1255955571 | Molly C Asper | Registered Nurse | 1170 E Westminster Ave Apt A, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1538783949 | Stacie Michelle Ireland | Registered Nurse | 3402 E Stonehill Ln, Salt Lake City, UT 84121-5864 | 2020-06-01 |
| 1518509637 | Connie Russell | Registered Nurse | 1205 E Bonner Way, Salt Lake City, UT 84117-4917 | 2019-10-09 |
| 1578115903 | Jennifer Renea Mccullough | Registered Nurse | 667 S 900 E, Salt Lake City, UT 84102-3418 | 2019-07-16 |
| 1497307979 | Josephine Fulmer | Registered Nurse | 265 E Hubbard Ave, Salt Lake City, UT 84111-4615 | 2019-07-15 |
| 1437701885 | Mikyla Davis | Registered Nurse | 6896 S Greenfield Way, Salt Lake City, UT 84121-3015 | 2019-07-15 |
| 1477115491 | Joseph Alexander Weimer | Registered Nurse | 2079 S 1200 E Unit 409, Salt Lake City, UT 84105-3584 | 2019-06-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.