ANGIE WALLACE (NPI# 1598159956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598159956 |
| Entity Type | Individual |
| Full Name | ANGIE WALLACE |
| Credential | NC |
| Practice Address |
233 Easterly Pkwy 104 State College PA 16801-6300 |
| Practice Telephone | 8142340785 |
| Mailing Telephone | 8142340785 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881856615 | Angie Marie Wallace | Clinical Nurse Specialist | 45 Roadside Ave Frnt, Waynesboro, PA 17268-2543 | 2008-07-02 |
| Street Address |
233 EASTERLY PKWY 104 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221918 | Antonio A Montalbo | Ophthalmology | 233 Easterly Pkwy, State College, PA 16801-6300 | 2005-11-09 |
| 1982087201 | Fusion Chiropractic & Acupuncture, LLC | Acupuncturist | 233 Easterly Pkwy, Suite 105, State College, PA 16801-6300 | 2015-07-06 |
| 1306230750 | Bewell Associates | Nutritionist | 233 Easterly Pkwy, 104, State College, PA 16801-6300 | 2015-03-24 |
| 1962666586 | Dana J. Boddorf | Audiologist | 233 Easterly Pkwy, Ste 102, State College, PA 16801-6300 | 2008-07-13 |
| 1649470923 | Albrecht Audiology, LLC | Audiologist | 233 Easterly Pkwy, State College, PA 16801-6300 | 2007-07-24 |
| 1124143391 | Janyce Kay Mose | Specialist | 233 Easterly Pkwy, State College, PA 16801-6300 | 2007-03-20 |
| 1780709949 | Judith Lynn Albrecht | Specialist | 233 Easterly Pkwy, State College, PA 16801-6300 | 2007-03-20 |
| 1861517146 | Monica D Manning | Speech-Language Pathologist | 233 Easterly Pkwy, State College, PA 16801-6300 | 2007-03-19 |
| 1437229705 | Carol Baggot Anderson | Speech-Language Pathologist | 233 Easterly Pkwy, State College, PA 16801-6300 | 2006-11-08 |
| 1467543934 | Harvey Steven Israel | Dentist | 233 Easterly Pkwy, Ste 106, State College, PA 16801-6300 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) 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 |
|---|---|---|---|---|
| 1306230750 | Bewell Associates | Nutritionist | 233 Easterly Pkwy, 104, State College, PA 16801-6300 | 2015-03-24 |
| 1275749822 | Monica C. Montag | Nutritionist | 1001 University Dr, State College, PA 16801-6600 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102317 | Thomas Prather | Nutritionist | 7 Gaebel Ln, Landenberg, PA 19350-9117 | 2020-10-17 |
| 1790392694 | Emily Kilar | Nutritionist | 1305 Riverfront Dr, Pittsburgh, PA 15238-3179 | 2020-09-25 |
| 1801402557 | Brianna Manginelli | Nutritionist | 1797b Janney Ln, Yardley, PA 19067-6312 | 2020-09-18 |
| 1740894757 | Marlene Rose Ohmer | Nutritionist | 2547 W 8th St Unit 42, Erie, PA 16505-4443 | 2020-09-08 |
| 1811501380 | Lindsey Repine | Nutritionist | 101 Sturbridge Ln, Evans City, PA 16033-3001 | 2020-09-02 |
| 1457964579 | Dana Gardenhour Bodek | Nutritionist | 1903 Wentworth Ct, Pittsburgh, PA 15237-1769 | 2020-08-28 |
| 1013533678 | Shannon James Hollister | Nutritionist | 13936 Sr 106, Kingsley, PA 18826 | 2020-06-19 |
| 1194340877 | Sandra Wittman | Nutritionist | 355 5th Ave Ste 1502, Pittsburgh, PA 15222-2409 | 2020-06-09 |
| 1649893116 | Ashley Comparin | Nutritionist | 1506 Christian St Apt 2, Philadelphia, PA 19146-2113 | 2020-05-19 |
| 1346878378 | Geisinger Medical Center | Nutritionist | 3 Wesner Ln Fl 2, Danville, PA 17821-8023 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
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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.