CHRISTAL WALLACE (NPI# 1891340857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891340857 |
| Entity Type | Individual |
| Full Name | CHRISTAL WALLACE |
| Practice Address |
1913 Lexis Ln Apt 104 Nampa ID 83686-6529 |
| Practice Telephone | 7856405293 |
| Mailing Telephone | 7856405293 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1913 LEXIS LN APT 104 |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704204 | Rising Hope Counseling Services, LLC | Social Worker | 104 9th Ave S # 5a, Nampa, ID 83651-3809 | 2020-09-12 |
| 1104437995 | Erika Lynn Rivera | Social Worker | 1224 1st St S Ste 307, Nampa, ID 83651-3963 | 2020-08-14 |
| 1942825054 | Jasmine E Melendez | Social Worker | 5640 E Franklin Rd # 180, Nampa, ID 83687-8402 | 2020-06-15 |
| 1487277455 | Nicole Anne Bodenstab Lee | Social Worker | 158 Mcclure Ave, Nampa, ID 83651-2025 | 2020-05-25 |
| 1518588375 | Heather Mosqueda Crist | Social Worker | 270 W Georgia Ave, Nampa, ID 83686-2835 | 2020-05-04 |
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1518510775 | Anna Crane | Social Worker | 1310 N 63rd St, Nampa, ID 83687-8528 | 2019-07-17 |
| 1093208803 | Andrea H Drake | Social Worker | 1019 W Sanetta St, Nampa, ID 83651-5047 | 2018-06-07 |
| 1255867156 | Gabriel M Hofkins | Social Worker | 1504 3rd St N, Nampa, ID 83687-4035 | 2017-05-11 |
| 1669828992 | Yvette Enriquez | Social Worker | 240 High St, Apt C, Nampa, ID 83651-2820 | 2016-05-05 |
| Find all providers in NAMPA | ||||
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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.