STEPHANIE P WALLACE (NPI# 1730419599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730419599 |
Entity Type | Individual |
Full Name | STEPHANIE P WALLACE |
Credential | APRN |
Practice Address |
9800 Shelbyville Rd Suite #220 Louisville KY 40223-2992 |
Practice Telephone | 5024298585 |
Practice Fax Number | 5024296157 |
Mailing Telephone | 5024298585 |
Mailing Fax Number | 5024296157 |
Enumeration Date | 2009-12-30 |
Last Update Date | 2013-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3006327 | KY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
Street Address |
9800 SHELBYVILLE RD SUITE #220 |
City | LOUISVILLE |
State | KY |
Zip Code | 40223-2992 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629077698 | Stephen J. Pollard | Allergy & Immunology | 9800 Shelbyville Rd, Suite #220, Louisville, KY 40223-2992 | 2005-07-20 |
1447721584 | Katie A Davis | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2018-12-16 |
1023482106 | Tiffany Susan Helmerich | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2015-11-30 |
1760807556 | Vanessa J Magee | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2014-03-03 |
1467889725 | Susan K Hampton | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2013-10-02 |
1447539440 | Stacy Yvonne Wright | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2011-08-08 |
1427349687 | Timothy W. Logan, D.m.d., P.s.c. | Dentist | 9800 Shelbyville Rd, Suite 202, Louisville, KY 40223-5440 | 2011-04-22 |
1033436282 | University Pediatrics Foundation, Inc. | Allergy & Immunology | 9800 Shelbyville Rd, Louisville, KY 40223-2977 | 2010-04-28 |
1235395781 | Natalie Beaven Miller | Allergy & Immunology | 9800 Shelbyville Rd, Suite #220, Louisville, KY 40223-2992 | 2008-08-04 |
1275705014 | Brandi Hunley Dyer | Allergy & Immunology | 9800 Shelbyville Rd, Suite #220, Louisville, KY 40223-2992 | 2008-04-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
Find all providers in zip 40223 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
1578192274 | Brian W Oliver | Nurse Practitioner | 309 Iola Rd, Louisville, KY 40207-2917 | 2020-04-04 |
1942835624 | Rebecca Spicer | Nurse Practitioner | 9805 Scarborough Ave, Louisville, KY 40272-2436 | 2020-03-03 |
1487288262 | Centerpointe Health LLC | Nurse Practitioner | 10100 Linn Station Rd, Louisville, KY 40223-3861 | 2020-03-02 |
1750914438 | Robin Elizabeth Masters | Nurse Practitioner | 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 | 2020-02-20 |
1629608286 | Meagan Molestina | Nurse Practitioner | 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 | 2020-01-23 |
1255971131 | Casey Lynn Potter | Nurse Practitioner | 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 | 2020-01-08 |
1487292033 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 | 2019-12-13 |
1548803273 | Jessica L Withrow | Nurse Practitioner | 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 | 2019-10-25 |
1629627773 | Latonya Renee Banks | Nurse Practitioner | 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 | 2019-09-10 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40223 |
Please comment or provide details below to improve the information on STEPHANIE P 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.