PATRICIA WALLACE (NPI# 1518095108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518095108 |
| Entity Type | Individual |
| Full Name | PATRICIA WALLACE |
| Practice Address |
200 Tyre Ave Newark DE 19711-7136 |
| Practice Telephone | 3024542047 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
L10011133 | DE | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434091 | Patricia J Wallace | Hearing Instrument Specialist | 1 Chesterfield Mall, Chesterfield, MO 63017-4807 | 2013-09-20 |
| 1043336704 | Patricia Irene Wallace | Counselor | 104 N 4th St, Hugo, OK 74743-4003 | 2007-03-22 |
| 1730683301 | Patricia Sue Wallace | Nurse Practitioner | 106 Market Place Cir, Georgetown, KY 40324-7400 | 2018-03-20 |
| 1548762958 | Patricia E. Wallace | Counselor | 3365 W Craig Rd Ste 25, North Las Vegas, NV 89032-5127 | 2018-03-01 |
| 1538606744 | Patricia Wallace | Occupational Therapist | 1755 Wittington Pl Ste 175, Dallas, TX 75234-1905 | 2017-01-25 |
| 1215398722 | Patricia Wallace | Marriage & Family Therapist | 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 | 2016-03-10 |
| 1447553300 | Patricia A Wallace | Counselor | 450 Rosewood Ave, Suite215, Camarillo, CA 93010-5914 | 2010-12-15 |
| 1164750741 | Patricia Wallace | Occupational Therapist | 1818 W Worley St, Columbia, MO 65203-1038 | 2009-11-19 |
| 1174771281 | Patricia M Wallace | Acupuncturist | 217 1st St, Neptune Beach, FL 32266-6145 | 2008-09-03 |
| 1033393780 | Patricia Bonner Wallace | Counselor | 823 Evans St, Greenville, NC 27834-3267 | 2007-12-18 |
| Street Address |
200 TYRE AVE |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780728683 | Dorothy Brabson | Registered Nurse | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| 1720331317 | Lauren M Wells | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-10-19 |
| 1164773834 | Leslie M Fernandez | Psychologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-09-21 |
| 1457600223 | Remone P Mundle | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-09-07 |
| 1780933283 | Hali F Bernstein | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-08-30 |
| 1740538552 | Melissa Kimberly Andrade | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-08-28 |
| 1053679597 | Susan Johnson | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-05-02 |
| 1659645315 | Amy C Lowe | Psychologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-02-28 |
| 1427328061 | Melissa L Schaffer | Occupational Therapy Assistant | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-01-12 |
| 1629348552 | Stephanie Dryden | Occupational Therapy Assistant | 200 Tyre Ave, Newark, DE 19711-7136 | 2012-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807284 | Paige Dolan | Registered Nurse | 24 Dolphin Dr, Newark, DE 19702-4767 | 2020-10-08 |
| 1437614369 | Kristie A. Hill | Registered Nurse | 200 Lagrange Ave, Newark, DE 19702-3516 | 2019-02-05 |
| 1528576899 | Cordero Jackson | Registered Nurse | 624 Dr Martin Luther King Jr Blvd Apt 9, Newark, NJ 07102-1254 | 2018-01-19 |
| 1285143479 | Erin Porter | Registered Nurse | 200 Mcintire Dr, Newark, DE 19711-3568 | 2017-09-20 |
| 1912435488 | Colleen N Sauder | Registered Nurse | 55 S Meadowood Dr, Newark, DE 19711-6755 | 2017-05-30 |
| 1104256791 | Kristin Turner | Registered Nurse | 76 Auckland Dr, Newark, DE 19702-4252 | 2013-11-18 |
| 1124263322 | Marilyn D Goodman | Registered Nurse | 848 Pierson Ave., Newark, NY 14513 | 2008-12-03 |
| 1700056223 | Gaynel Fontaine | Registered Nurse | 2575 Glasgow Avenue, Hodgson Vo Tech, Newark, DE 19702 | 2008-03-12 |
| 1780728683 | Dorothy Brabson | Registered Nurse | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| 1629620992 | Nichole Snyder | Registered Nurse | 625 Peirson Ave, Newark, NY 14513-2022 | 2019-07-16 |
| Find all providers in NEWARK | ||||
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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.