KATHERINE MARIE WALLACE


Address: 118 Enterprise Ct Ste B, Columbus, GA 31904-9228
Phone: 7063301389

KATHERINE MARIE WALLACE (NPI# 1548650617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548650617
Entity Type Individual
Full Name KATHERINE MARIE WALLACE
Other Name KATHERINE MARIE HORNE
Credential NP-C
Practice Address 118 Enterprise Ct Ste B
Columbus
GA 31904-9228
Mailing Address 2702 Betchet Lane
Opelika
AL 36801-6153
Practice Telephone 7063301389
Practice Fax Number 7063301392
Mailing Telephone 3347501421
Enumeration Date 2015-01-28
Last Update Date 2018-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
A0714020 AL Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN243697 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003161276B 05

Other Providers KATHERINE WALLACE

NPI Name Taxonomy Address Enumeration
1932734886 Katherine Abigail Wallace Registered Nurse 43 Cottage St, Milbridge, ME 04658-3534 2020-03-10
1942583893 Katherine Sue Wallace Counselor 408 S Gideon Ave, Gideon, MO 63848-9200 2011-09-27
1801385349 Katherine H Wallace Social Worker 600 Jackson St, Fredericksburg, VA 22401-5719 2018-05-09
1891190831 Katherine Lucas Wallace Marriage & Family Therapist 3800 Coolidge Ave, Oakland, CA 94602-3311 2014-11-04
1124395603 Katherine J Wallace Nutritionist 675 W Washington Ave, Madison, WI 53703-2637 2011-11-28
1518261312 Katherine Chandler Wallace Clinical Nurse Specialist 1611 Cambridge St, Cambridge, MA 02138-4302 2011-01-07
1851516371 Katherine G. Wallace Marriage & Family Therapist 147 County Rd, Gorham, ME 04038-1916 2007-04-17
1750438883 Katherine Ann Wallace Physical Therapist 5901 Roosevelt Way Ne, Suite B, Seattle, WA 98105-2754 2007-01-04
1790843381 Katherine Ahn Wallace Dentist 7801 Center Ave, Suite 101, Huntington Beach, CA 92647-9110 2006-12-05

Office Location

Street Address 118 ENTERPRISE CT STE B
City COLUMBUS
State GA
Zip Code 31904-9228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821641457 At Home Palliative Care, LLC Nursing Care 114 Enterprise Ct, Suite B, Columbus, GA 31904 2019-07-23
1285191049 Shandra Ladell Grimes Nurse Practitioner 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 2019-02-27
1881161529 Lesley Kathleen Simmons Massage Therapist 5402 15th Ave, Columbus, GA 31904 2018-10-31
1184190662 Alphonsa Joseph Nurse Practitioner 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 2018-10-22
1568942704 William Pearce Massey Social Worker 8851-1 Moore Road, Columbus, GA 31904 2018-08-17
1033696372 Marlise V. Gray Counselor 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 2018-07-19
1710418173 Amanda Barnette Pruett Behavioral Analyst 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 2017-03-27
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1609323369 Shomika Lasha Battle Registered Nurse 2101 North Avenue, Columbus, GA 31904 2016-09-09
1952759219 Peaceful River Home Care Agency In Home Supportive Care 738 Rudgate Road, Columbus, GA 31904 2016-05-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891394235 Lisa Ann Popovich Nurse Practitioner 3703 Canon Ridge Pl, Columbus, OH 43230-4010 2020-10-17
1548812159 Holly Penix Nurse Practitioner 223 Bluewing Ct, Columbus, OH 43235-1490 2019-07-13
1558840496 Sheila Parker Strickland Nurse Practitioner 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 2018-08-11
1669992822 Susan Lee Mcfall Nurse Practitioner 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 2017-06-20
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1285095802 Laura Aumiller Nurse Practitioner 842 Grandview Ave, Columbus, OH 43215-1124 2016-03-09
1457741498 Roshann Palmer Nurse Practitioner 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 2015-01-29
1144637299 Jody Anne Howell Nurse Practitioner 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 2014-07-21
1538589536 Courtney Dubois Shihabuddin Nurse Practitioner 750 E Long St Ste 3000, Columbus, OH 43203-1874 2014-04-17
1871832550 Jennifer Lynn Grant Nurse Practitioner 836 Jackson St., Columbus, IN 47201 2013-01-31
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Competitor

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City COLUMBUS
Zip Code 31904

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Dataset Information

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.

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