DANNA KAYE WALLACE (NPI# 1891041166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891041166 |
| Entity Type | Individual |
| Full Name | DANNA KAYE WALLACE |
| Credential | MSW, CSW, CABIP |
| Practice Address |
730 Fairview Ave Bowling Green KY 42101-2367 |
| Practice Telephone | 2709040201 |
| Practice Fax Number | 2709040221 |
| Mailing Telephone | 2709040201 |
| Mailing Fax Number | 2709040221 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
05202012 | KY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
05202012 | KY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
05202012 | Behavioral Health & Social Service Providers |
| Street Address |
730 FAIRVIEW AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376613737 | Gerald Eugene Sullivan | Ophthalmology | 730 Fairview Ave, Suite B1, Bowling Green, KY 42101-2367 | 2006-11-09 |
| 1285016832 | Chambers & Clark Hearing LLC | Hearing Instrument Specialist | 730 Fairview Ave, Suite A4, Bowling Green, KY 42101-2367 | 2015-06-19 |
| 1538541271 | Steven H Clark | Hearing Instrument Specialist | 730 Fairview Ave, Suite A4, Bowling Green, KY 42101-2367 | 2015-06-18 |
| 1235477266 | Bowling Green Warren County Community Hospital Corporation | Counselor | 730 Fairview Ave, Suite A-8, Bowling Green, KY 42101-2367 | 2013-01-25 |
| 1841542453 | Susan J Barnett | Social Worker | 730 Fairview Ave, Ste B1, Bowling Green, KY 42101-2365 | 2012-10-05 |
| 1336495944 | Jana Willis | Dietitian, Registered | 730 Fairview Ave, Suite B1, Bowling Green, KY 42101-2367 | 2012-08-01 |
| 1679744361 | Michael Edwin Chambers | Hearing Instrument Specialist | 730 Fairview Ave, Suite A-4, Bowling Green, KY 42101-2367 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382820 | Amy Brickler | Counselor | 1721 Us 31w Byp, Bowling Green, KY 42101-3030 | 2020-10-01 |
| 1366069429 | Tiffany Nora Koester | Counselor | 305 N. Business 61, Bowling Green, MO 63334-0044 | 2020-07-06 |
| 1790304780 | Mind & Body Synergy Center | Counselor | 333 W Wooster St, Bowling Green, OH 43402-2807 | 2020-04-10 |
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1497310635 | Stephanie Ann Menser | Counselor | 400 E Main Ave Ste 307, Bowling Green, KY 42101-6900 | 2019-05-02 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1760954770 | Yellow Wood Counseling, LLC | Counselor | 1005 E 15th Ave Ste E, Bowling Green, KY 42104-3002 | 2019-01-02 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1902343023 | Mary Amber Hooper | Counselor | 225 Rivergreen Ln, Bowling Green, KY 42103-8726 | 2017-01-26 |
| 1336686062 | Demetrius King | Counselor | 1990 Louisville Rd Ste 101, Bowling Green, KY 42101-1202 | 2017-01-19 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on DANNA KAYE 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.