MRS. AMY BETH WALLACE (NPI# 1861663122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861663122 |
| Entity Type | Individual |
| Full Name | MRS. AMY BETH WALLACE |
| Credential | LPN |
| Practice Address |
150 Gate House Trl Henrietta NY 14467-9559 |
| Practice Telephone | 5853593557 |
| Mailing Telephone | 5853593557 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 276860 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02570267 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922472455 | Amy Wallace | Nurse Practitioner | 333 Portage St, Kalamazoo, MI 49007-4931 | 2015-11-20 |
| 1760887657 | Amy Wallace | Case Manager/Care Coordinator | 34 Seals Dr, Monroe, NY 10950-3949 | 2014-11-04 |
| 1376958553 | Amy Wallace | Occupational Therapy Assistant | 741 Fenwick Rd, Hillsboro, OH 45133-6789 | 2014-06-25 |
| 1528362902 | Amy Vosburg Wallace | Counselor | 6814 Auburn Oak Trl, Humble, TX 77346-1366 | 2010-12-29 |
| 1831289917 | Amy Piatt Wallace | Speech-Language Pathologist | 238 Cureton St, Greenville, SC 29605-1031 | 2006-10-13 |
| 1134619463 | Amy Wallace | Emergency Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-05-11 |
| 1104178052 | Amy M Wallace | Nurse Practitioner | 800 Rose St, 4th Floor, Lexington, KY 40536-0001 | 2012-10-02 |
| 1043452063 | Amy Evelyn Wallace | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2009-04-06 |
| 1740457209 | Amy Wallace | Obstetrics & Gynecology | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2008-05-14 |
| 1376695627 | Amy Catherine Wallace | Occupational Therapist | 2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 | 2007-01-17 |
| Street Address |
150 GATE HOUSE TRL |
| City | HENRIETTA |
| State | NY |
| Zip Code | 14467-9559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710236153 | Katrina Celeste Kaplin | Registered Nurse | 755 Pinnacle Rd., Henrietta, NY 14467 | 2012-08-30 |
| 1215285812 | Kathy Anne Benner | Registered Nurse | 549 Henrietta Pittsford Townline Road, Henrietta, NY 14467 | 2012-08-29 |
| 1275819773 | Beverly B Theuer | Registered Nurse | 1799 Lehigh Station Road, Rush-henrietta Senior High School, Henrietta, NY 14467 | 2011-10-27 |
| 1013204775 | Jeanne B Schwasman | Registered Nurse | 755 Pinnacle Rd, Henrietta, NY 14467 | 2011-07-01 |
| 1932492337 | Rush-henrietta Central School District | Local Education Agency (LEA) | 750 Pinnacle Rd, Henrietta, NY 14467 | 2011-05-18 |
| 1891973301 | Carol B Baldwin | Registered Nurse | 18 High Manor Drive, Apt 1, Henrietta, NY 14467 | 2008-02-06 |
| 1619167814 | Linda P White | Licensed Practical Nurse | 85 Clooney Drive, Henrietta, NY 14467 | 2007-07-25 |
| 1669088878 | Daren Crane | Specialist/Technologist | 1799 Lehigh Station Road, Henrietta, NY 14467 | 2020-09-22 |
| 1992143739 | Timothy Wagner | Orthopaedic Surgery | 50 Middle Rd, Henrietta, NY 14467 | 2013-06-13 |
| 1306121298 | Jessica Susan Ventura | Speech-Language Pathologist | 2034 Lehigh Station Rd, Henrietta, NY 14467 | 2011-10-11 |
| Find all providers in zip 14467 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1760094635 | Geena Wyatt | Licensed Practical Nurse | 411 N Barrett St, Henrietta, TX 76365-2203 | 2020-08-20 |
| 1326669979 | Yachica Montia Johnson | Licensed Practical Nurse | 73 Campfire Rd N, Henrietta, NY 14467-9523 | 2020-05-05 |
| 1871124867 | Katlyn Marie Dangelo | Licensed Practical Nurse | 5000 E Henrietta Rd Apt A4, Henrietta, NY 14467-8927 | 2020-01-29 |
| 1992357073 | Timothy Jireh Roberts | Licensed Practical Nurse | 31 High Manor Dr Apt 2, Henrietta, NY 14467-9114 | 2019-07-09 |
| 1477919157 | Robin Rapone | Licensed Practical Nurse | 158 Green Moor Way, Apt 1, Henrietta, NY 14467-8843 | 2016-01-11 |
| 1407235328 | Carla Viola | Licensed Practical Nurse | 1915 Pinnacle Rd, Henrietta, NY 14467-9760 | 2015-05-26 |
| 1043637853 | Carrie Cohen | Licensed Practical Nurse | 931 Pinnacle Rd, Henrietta, NY 14467-9735 | 2014-03-19 |
| 1376969717 | Asmeret Yohannes | Licensed Practical Nurse | 29 Myrtlewood Dr Apt D, Henrietta, NY 14467-8829 | 2014-03-10 |
| 1700134400 | Keri Lowe | Licensed Practical Nurse | 29 Staglen Drive, Henrietta, NY 14467-9013 | 2012-08-28 |
| 1982919551 | Tina Elizabeth Chess | Licensed Practical Nurse | 102 Wildherd Dr, Henrietta, NY 14467-9770 | 2010-08-08 |
| Find all providers in HENRIETTA | ||||
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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.