SARAH JANE WALLACE (NPI# 1851862270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851862270 |
| Entity Type | Individual |
| Full Name | SARAH JANE WALLACE |
| Credential | APN |
| Practice Address |
Saint John Urgent Care 3550 S 4th St, Ste B Leavenworth KS 66048 |
| Mailing Address |
1000 Carondelet Dr Provider Enrollment Medical Staff Office Kansas City MO 64114 |
| Practice Telephone | 9136806200 |
| Practice Fax Number | 9136806348 |
| Mailing Telephone | 8169435743 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78450 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018039449 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4820 N Oak Trfy, Kansas City, MO 641184691 | 8168538657 | |
| Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 9136806200 | 9136806348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760709745 | Sarah Elizabeth Wallace | Speech-Language Pathologist | 711 Forbes Avenue, 406 Fisher Hall, Pittsburgh, PA 15282 | 2010-04-29 |
| 1376011510 | Sarah Wallace | Social Worker | 1635 Union Center Maine Hwy Ste 204, Endicott, NY 13760-1340 | 2018-11-06 |
| 1912451196 | Sarah Wallace | Audiologist | 1528 Common St Ste 5, New Braunfels, TX 78130-3336 | 2016-08-05 |
| 1154792513 | Sarah Elizabeth Wallace | Physician Assistant | 21258 M 68 Hwy, Onaway, MI 49765-9692 | 2015-10-12 |
| 1396114856 | Sarah Wallace | Pharmacist | 2780 Wilma Rudolph Blvd, Clarksville, TN 37040-5897 | 2015-09-15 |
| 1568850006 | Sarah Wallace | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2015-01-07 |
| 1912330440 | Sarah M Wallace | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2013-08-20 |
| 1457660508 | Sarah Wallace | Registered Nurse | 1125 Pierce St, Sioux City, IA 51105-1485 | 2010-10-06 |
| 1144458969 | Sarah J Wallace | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2009-07-01 |
| 1982848107 | Sarah Wallace | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2009-05-01 |
| Street Address |
SAINT JOHN URGENT CARE 3550 S 4TH ST, STE B |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| 1497151914 | Katie Hewitt | Speech-Language Pathologist | 721 Metropolitan Ave Ste C, Leavenworth, KS 66048 | 2014-11-11 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310877 | Amber Johnson | Nurse Practitioner | 1001 6th Ave Ste 340, Leavenworth, KS 66048-3248 | 2017-04-16 |
| 1013039155 | Ardeth Ann Tingler-mccann | Nurse Practitioner | 3550 S 4th St Ste 120, Leavenworth, KS 66048-5061 | 2007-04-06 |
| 1609945609 | Lynn A. Chadd | Nurse Practitioner | 283 Us Highway 2, Space C, Leavenworth, WA 98826 | 2006-11-06 |
| 1275554271 | Peggy Lynn Moran | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2006-07-22 |
| 1285235341 | Blaine Rebecca Oswald | Nurse Practitioner | 500 Limit St, Leavenworth, KS 66048-4435 | 2020-11-05 |
| 1063071967 | Leo-anthony Nnamdi Ojini | Nurse Practitioner | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-06-13 |
| 1811556160 | Jason Gordon Gray | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2019-06-11 |
| 1265999783 | Michelle E Krock | Nurse Practitioner | 1300 Metropolitan Ave, Leavenworth, KS 66048-1254 | 2019-02-21 |
| 1811471105 | Nicole Berberich | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2018-09-21 |
| 1689152803 | Sakura Christy Cleal | Nurse Practitioner | 4104 S 4th St, Leavenworth, KS 66048 | 2018-07-31 |
| Find all providers in LEAVENWORTH | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on SARAH JANE 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.