DR. BEVERLY ROSE WALLACE (NPI# 1942759238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942759238 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY ROSE WALLACE |
| Practice Address |
3719 Benson Dr Raleigh NC 27609-7324 |
| Practice Telephone | 9193686227 |
| Mailing Telephone | 9193686227 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174595367 | Beverly Wallace | Occupational Therapist | 3911 Golf Park Loop, Suite #105, Bradenton, FL 34203-3453 | 2006-02-02 |
| Street Address |
3719 BENSON DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447511779 | Rachell P Davis | Nurse Practitioner | 3719 Benson Dr, Suite 200, Raleigh, NC 27609-7324 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801441316 | Brenda G Jones | Counselor | 4926 Windy Hill Dr Ste A, Raleigh, NC 27609-5182 | 2019-08-02 |
| 1093299497 | Kenneth E Jarmon Sr. | Counselor | 3805 Tarheel Club Rd, Raleigh, NC 27604-9665 | 2018-09-20 |
| 1184065575 | William Howard Searcy | Counselor | 700 Brooks Ave, Raleigh, NC 27607-4132 | 2013-07-12 |
| 1104037720 | William Mark Holland | Counselor | 3405 Dell Dr, Raleigh, NC 27609-7119 | 2007-05-25 |
| 1629452016 | Terry Michael Newell Jr. | Counselor | 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 | 2015-07-15 |
| 1083048516 | Jack Basden Mckinney | Counselor | 3412 Hillsborough St, Raleigh, NC 27607-5407 | 2013-09-03 |
| 1205080793 | Jennifer Clarke Brown | Counselor | 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 | 2008-11-10 |
| 1609063171 | David Carl Verner | Counselor | 312 W Millbrook Rd, Ste. 109, Raleigh, NC 27609-4389 | 2007-09-28 |
| 1760676944 | Suzanne Ware Luper | Counselor | 312 W Millbrook Rd, #109, Raleigh, NC 27609-4389 | 2007-08-30 |
| 1336331560 | Robert Lawson Cooke | Counselor | 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 | 2007-08-12 |
| Find all providers in RALEIGH | ||||
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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.