HEATHER ELIZABETH WALLACE (NPI# 1962993634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962993634 |
Entity Type | Individual |
Full Name | HEATHER ELIZABETH WALLACE |
Credential | NP |
Practice Address |
1879 Savage Rd Charleston SC 29407-4726 |
Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
Practice Telephone | 8437639472 |
Practice Fax Number | 8437637411 |
Mailing Telephone | 8437891620 |
Mailing Fax Number | 8437242440 |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21745 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568934362 | Heather Wallace | Licensed Practical Nurse | 16615 130th Ave, Rodney, MI 49342-9707 | 2018-12-19 |
1407329204 | Heather Ann Wallace | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2019-01-04 |
1053856427 | Heather E Wallace | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2016-12-21 |
1275075400 | Heather Marie Wallace | Nurse Practitioner | 1870 Amherst St Ste C, Winchester, VA 22601-2841 | 2016-11-04 |
1821342106 | Heather A Wallace | Physician Assistant | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2012-11-07 |
1316227051 | Heather Freeman Wallace | Pharmacist | 715 W Trade St, Dallas, NC 28034-1544 | 2011-08-25 |
1295027274 | Heather Wallace | Registered Nurse | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2011-05-09 |
1437369865 | Heather Wallace | Counselor | Chdd Columbia Rd, Box 357920 Room 205, Seattle, WA 98195-7920 | 2007-05-23 |
1336173574 | Heather Morgan Wallace | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-07-11 |
Street Address |
1879 SAVAGE RD |
City | CHARLESTON |
State | SC |
Zip Code | 29407-4726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386688042 | Joann Hiott | Family Medicine | 1879 Savage Rd, Charleston, SC 29407-4726 | 2006-06-15 |
1992302905 | Roper Saint Francis Physicians Network | Surgery | 1879 Savage Rd, Charleston, SC 29407-4726 | 2020-10-02 |
1558971226 | Roper Saint Francis Physicians Network | Colon & Rectal Surgery | 1879 Savage Rd, Charleston, SC 29407-4726 | 2020-08-06 |
1831619923 | Anthony John Germinario | Family Medicine | 1879 Savage Rd, Charleston, SC 29407-4726 | 2017-06-21 |
1124257282 | Jennifer Goddard | Family Medicine | 1879 Savage Rd, Charleston, SC 29407 | 2009-07-10 |
1881837185 | Roper Saint Francis Physicians Network | Internal Medicine | 1879 Savage Rd, Charleston, SC 29407 | 2009-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
Find all providers in zip 29407 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29407 |
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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.