BONNIE WALLACE (NPI# 1770844300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770844300 |
| Entity Type | Individual |
| Full Name | BONNIE WALLACE |
| Credential | ANP-BC |
| Practice Address |
4230 Harding Pike Ste 330 Nashville TN 37205-2013 |
| Practice Telephone | 6152694545 |
| Mailing Telephone | 6152694545 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN0000016620 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1437402229 | Bonnie Merritt Wallace | Physician Assistant | 3304 Cooley Ct, Portage, MI 49024-7430 | 2012-10-18 |
| Street Address |
4230 HARDING PIKE STE 330 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37205-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516340 | Mark Tedder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4230 Harding Pike, Suite 430, Nashville, TN 37205-2013 | 2005-05-31 |
| 1821645987 | Gateway Foot and Ankle Center, Plc | Durable Medical Equipment & Medical Supplies | 4230 Harding Pike, Suite G12, Nashville, TN 37205 | 2019-08-23 |
| 1598278566 | Billie Kathleen Lancaster | Nurse Practitioner | 4230 Harding Pike, Nashville, TN 37205-2013 | 2017-11-13 |
| 1265979405 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 4230 Harding Pike, Suite 503, Nashville, TN 37205-2013 | 2017-01-26 |
| 1023560406 | Liza Catherine Ellis | Nurse Practitioner | 4230 Harding Pike, Nashville, TN 37205-2013 | 2016-11-01 |
| 1528516911 | Ashley Wike | Nurse Practitioner | 4230 Harding Pike, Suite 330, Nashville, TN 37205-2013 | 2016-09-14 |
| 1548715147 | Catherine Wiley Lane | Nurse Practitioner | 4230 Harding Pike, Suite 435, Nashville, TN 37205-2013 | 2016-08-24 |
| 1790137727 | Margaret M Dunlap | Audiologist-Hearing Aid Fitter | 4230 Harding Pike, Suite 400, Nashville, TN 37205-2013 | 2016-07-01 |
| 1053768218 | Virginia H Milazo | Nurse Practitioner | 4230 Harding Pike, Suite 330, Nashville, TN 37205 | 2016-05-18 |
| 1992152227 | Tia Mefford | Nurse Practitioner | 4230 Harding Pike, Suite 503, Nashville, TN 37205-2013 | 2016-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1396307260 | Tyler G Smith | Dentist | 104 Kenner Ave., Suite #101, Nashville, TN 37205 | 2019-07-01 |
| 1487129508 | The Counseling Center At Belle Meade United Methodist Church, LLC | Counselor | Counseling Center At Belle Meade Umc, 121 Davidson Road, Nashville, TN 37205 | 2018-10-04 |
| 1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
| 1114323284 | Caroline Rhett Hartman | Counselor | 85 White Bridge Road, Ste 302, Nashville, TN 37205 | 2014-11-17 |
| 1619316387 | Sarah Jane Grayce | Psychiatry & Neurology | 85 White Bridge Rd Ste 302, Nashville, TN 37205 | 2013-06-17 |
| 1902142920 | Smita K Rao | Genetic Counselor, MS | 4220 Harding Pike Ste 200, Nashville, TN 37205 | 2012-12-19 |
| 1225386154 | Jessica Blain Trumble | Registered Nurse | 204 Carden Ave, Nashville, TN 37205 | 2012-08-27 |
| 1962778167 | Bryan Richard Hay | Internal Medicine | 4320 Harding Pike Ste 503, Nashville, TN 37205 | 2012-04-02 |
| 1184998064 | Christopher Snider | Specialist/Technologist, Other | 738 Templeton Dr, Nashville, TN 37205 | 2012-02-24 |
| Find all providers in zip 37205 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838713 | Rachel Goddard Claiborne | Nurse Practitioner | 7705 Poplar Ridge Dr, Nashville, TN 37221-2326 | 2020-10-15 |
| 1770115925 | Lorne Avery Schwartz | Nurse Practitioner | 5606b Pennsylvania Ave, Nashville, TN 37209-1439 | 2020-02-05 |
| 1689144255 | Ashlee Saylor Jackson | Nurse Practitioner | 1442 Mcalpine Ave, Nashville, TN 37216 | 2018-11-27 |
| 1528541174 | Sarah Munfakh Holliday | Nurse Practitioner | 1420 Donelson Pike Ste B17, Nashville, TN 37217-3015 | 2018-09-10 |
| 1629585559 | Allison Marie Susman | Nurse Practitioner | 1400 Donelson Pike Ste B5, Nashville, TN 37217-3013 | 2017-12-31 |
| 1801308036 | Dana Hughes | Nurse Practitioner | 719 Thompson Ln Ste 37189, Nashville, TN 37204-4716 | 2017-10-27 |
| 1043750201 | Lindsay Smith | Nurse Practitioner | 378 Normandy Cir, Nashville, TN 37209-4820 | 2017-03-07 |
| 1427590082 | Jessie Sellers Gibson | Nurse Practitioner | Vumc Department of Neurology 1161 21st Ave S, Rm A-0118 Mcn, Nashville, TN 37232-2551 | 2016-11-14 |
| 1750735528 | Janet Usher | Nurse Practitioner | 1497 Woodmont Blvd, Nashville, TN 37215-1629 | 2016-04-19 |
| 1972986420 | Ruth Castiello | Nurse Practitioner | 1215 21st Ave S Mce, 5th Floor, North Tower, Nashville, TN 37240-0001 | 2015-07-01 |
| Find all providers in NASHVILLE | ||||
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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.