CYNTHIA WALLACE (NPI# 1528573524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528573524 |
Entity Type | Individual |
Full Name | CYNTHIA WALLACE |
Credential | PLMHP |
Practice Address |
914 Baumann Dr Grand Island NE 68803-4401 |
Practice Telephone | 3083855250 |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
11320 | NE | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427677848 | Cynthia Wallace | Home Health Aide | 4513 Minaret Way, North Las Vegas, NV 89031-4319 | 2020-04-15 |
1215290051 | Cynthia Wallace | Home Health Aide | 3538 Stanton Rd Se, Washington, DC 20020-2288 | 2012-06-18 |
1093075913 | Cynthia Wallace | Social Worker | 19 E Birch St Ste 103, Walla Walla, WA 99362-3084 | 2012-05-24 |
1841509569 | Cynthia Jane Wallace | Registered Nurse | 310 Eastwood Ave, Delaware, OH 43015-1004 | 2010-09-29 |
1740241835 | Cynthia Calbert Wallace | Obstetrics & Gynecology | 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 | 2006-03-29 |
1386615540 | Cynthia L Wallace | Family Medicine | 4777 Andrew Jackson Pkwy, Suite 101, Hermitage, TN 37076-1356 | 2006-01-27 |
1619487410 | Cynthia Marie Wallace | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2017-10-05 |
1942608088 | Cynthia Wallace | Social Worker | 832 Mckinley Ave Nw, Canton, OH 44703-2463 | 2014-12-05 |
1811393648 | Cynthia Wallace | Nurse Practitioner | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-11-05 |
1730596875 | Cynthia Catherine Wallace | Dermatology | 5530 Wisconsin Ave, 820, Chevy Chase, MD 20815-4404 | 2014-07-21 |
Street Address |
914 BAUMANN DR |
City | GRAND ISLAND |
State | NE |
Zip Code | 68803-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558303743 | Mid-plains Center for Behavioral Healthcare Services, Inc. | Clinic/Center | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2006-06-12 |
1679191522 | Jessica L Rathje | Nurse Practitioner | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2020-07-08 |
1174148621 | Jia Lee | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2020-06-10 |
1295350759 | Pam Epperson | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2020-06-10 |
1659909117 | Span Psychiatry Services PC | Psychiatry & Neurology | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2020-03-31 |
1740810464 | Alyson Wolfe | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2020-01-22 |
1598313587 | Sarah Connell | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2019-09-03 |
1609340165 | Mary Couillard | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2019-01-17 |
1104307248 | Stephanie A. Saylor | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2018-08-27 |
1356822415 | Lauren K Cheek | Counselor | 914 Baumann Dr, Grand Island, NE 68803-4401 | 2018-08-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
Find all providers in zip 68803 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
1073128252 | Hilary J Pederson | Counselor | 2708 W Koenig St, Grand Island, NE 68803-5749 | 2020-09-14 |
1821628470 | Amy Elaine Aufenkamp | Counselor | 1811 W 2nd St Ste 105, Grand Island, NE 68803-5400 | 2020-01-23 |
1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
1740764372 | Elizabeth Ann Todd | Counselor | 1811 W 2nd St Ste 235, Grand Island, NE 68803-5463 | 2018-09-19 |
1922519206 | Staci Huston | Counselor | 404 W Charles St, Grand Island, NE 68801-6508 | 2017-10-13 |
1316460231 | Tammy Erickson Counseling, LLC | Counselor | 2121 N Webb Rd Ste 307, Grand Island, NE 68803-1751 | 2017-07-23 |
1093266462 | Jason Masker | Counselor | 131 Windham Ln, Grand Island, NY 14072-2099 | 2016-10-20 |
1477000925 | Kristy Hruby, Lmhp, Ladc | Counselor | 4131 Vermont Ave, Grand Island, NE 68803-1064 | 2016-09-01 |
1659736585 | Sarah Larsen Astrones PC | Counselor | 1811 W 2nd St Ste 475, Grand Island, NE 68803-5472 | 2015-12-18 |
Find all providers in GRAND ISLAND |
City | GRAND ISLAND |
Zip Code | 68803 |
Please comment or provide details below to improve the information on CYNTHIA 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.