KACIE NICOLE WALLACE (NPI# 1649899600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649899600 |
| Entity Type | Individual |
| Full Name | KACIE NICOLE WALLACE |
| Practice Address |
800 Ne 10th St Oklahoma City OK 73104-5418 |
| Mailing Address |
800 N Oklahoma Ave Apt 2207 Oklahoma City OK 73104-4421 |
| Practice Telephone | 4052714022 |
| Mailing Telephone | 9794505422 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871455 | Kacie Wallace | Physician Assistant | 22101 Moross Rd, Detroit, MI 48236-2148 | 2018-05-17 |
| Street Address |
800 NE 10TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710900337 | Mohammad Razaq | Emergency Medicine | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2006-07-25 |
| 1366056921 | Abigail Victoria Evans | Speech-Language Pathologist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2020-09-01 |
| 1467080481 | Paula Sayegh | Pharmacist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2020-03-27 |
| 1902432313 | Casie Shay Wall | Nurse Practitioner | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2020-03-17 |
| 1932748852 | Hillary Jo Mcguire | Occupational Therapist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2019-12-23 |
| 1306484803 | Amber Dawn Kraft Tarantini | Nurse Practitioner | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2019-12-15 |
| 1255976452 | Hafsa Ishaq | Physician Assistant | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2019-11-12 |
| 1235772666 | Taylor C Thomas | Registered Nurse | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2019-10-17 |
| 1649824228 | Cheryl Abigail West | Clinical Nurse Specialist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2019-07-31 |
| 1124687603 | Terah Crosson | Registered Nurse | 800 Ne 10th St, Oklahoma City, OK 73104 | 2019-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1942808555 | Lindsay Guthrie | Student in an Organized Health Care Education/Training Program | 8405 Nw 142nd St, Oklahoma City, OK 73142-7005 | 2020-10-15 |
| 1487251393 | Bradley Austin Heldmann | Student in an Organized Health Care Education/Training Program | 500 Central Park Dr Apt 805, Oklahoma City, OK 73105-1734 | 2020-10-04 |
| 1427665157 | Bennett Graham Oden | Student in an Organized Health Care Education/Training Program | 2912 Cummings Dr, Oklahoma City, OK 73107-2117 | 2020-09-27 |
| 1023624228 | Erik Willis | Student in an Organized Health Care Education/Training Program | 200 Ne 14th St Apt C6, Oklahoma City, OK 73104-1236 | 2020-09-22 |
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.