MELISSA S WALLACE (NPI# 1972068278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972068278 |
| Entity Type | Individual |
| Full Name | MELISSA S WALLACE |
| Credential | LPN |
| Practice Address |
151 W 7th Ave Ste 163 Eugene OR 97401-2676 |
| Mailing Address |
2420 Polk St Eugene OR 97405-1837 |
| Practice Telephone | 5416824464 |
| Mailing Telephone | 5416502236 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 201393584LPN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271243 | Melissa Wallace | Physical Therapy Assistant | 3685 Mcconnells Hwy W, Sharon, SC 29742-5710 | 2017-05-11 |
| 1841656311 | Melissa Emily Wallace | Social Worker | 1014 S Florida Ave Fl 2, Lakeland, FL 33803-1130 | 2016-01-13 |
| 1285903955 | Melissa Wallace | Physical Therapist | 582 Hwy 365 Ste 3, Mayflower, AR 72106 | 2011-12-23 |
| 1619267101 | Melissa Wallace | Massage Therapist | 161 Cactus Ct, Louisville, KY 40229-3109 | 2011-04-18 |
| 1881189181 | Melissa Sue Wallace | Counselor | 3575 Pershing Ave, San Diego, CA 92104-3413 | 2018-06-28 |
| 1023524501 | Melissa Ann Wallace | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2017-12-20 |
| 1538609110 | Melissa Wallace | Case Manager/Care Coordinator | 1124 College Dr, Rock Springs, WY 82901-5863 | 2017-03-02 |
| 1538607767 | Melissa Wallace | Counselor | 841 Riverside Dr, Suite B, Augusta, ME 04330-8302 | 2017-02-08 |
| 1366804064 | Melissa Wallace | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2016-03-22 |
| 1972988640 | Melissa Wallace | Social Worker | 579 Courtlandt Ave, Bronx, NY 10451-5013 | 2015-07-23 |
| Street Address |
151 W 7TH AVE STE 163 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184978900 | Dana Carolyn Fleming | Counselor | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2012-10-31 |
| 1932617032 | Wendy Ann Short | Licensed Practical Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2018-01-11 |
| 1184164709 | Sean Magnus Gorda | Community Health Worker | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2017-03-01 |
| 1013325612 | Kevin Mishler | Registered Nurse | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2014-07-27 |
| 1902230063 | Robyn Lyn Mcgregor | Counselor | 151 W 7th Ave Ste 163, Eugene, OR 97401-2676 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1811415029 | Nicole Keck | Licensed Practical Nurse | 4120 Scenic Dr, Eugene, OR 97404-1253 | 2017-09-07 |
| 1649709288 | Lyndsi Bobst | Licensed Practical Nurse | 2840 Stark St, Eugene, OR 97404-1842 | 2017-06-07 |
| 1417306051 | Kristin Mcgee | Licensed Practical Nurse | 2791 Gilham Rd, Eugene, OR 97408-7105 | 2016-06-05 |
| 1629432562 | Melissa Lee | Licensed Practical Nurse | 3187 Duke Snider Ave, Eugene, OR 97402-6576 | 2016-04-06 |
| 1952764714 | Tricia Taylor | Licensed Practical Nurse | 321 Archie St, Eugene, OR 97402-2482 | 2016-03-30 |
| 1205201290 | Heather Skeele | Licensed Practical Nurse | 4075 Aerial Way Apt 208, Eugene, OR 97402-8741 | 2015-12-02 |
| 1164895504 | Cia Janine Grimes | Licensed Practical Nurse | 1680 Chambers St Ste 103, Eugene, OR 97402-3655 | 2015-11-06 |
| 1003287624 | Katherine Elder | Licensed Practical Nurse | 463 E Anchor Ave, Eugene, OR 97404-1459 | 2015-10-08 |
| 1831575570 | Deanna Gallaher | Licensed Practical Nurse | 5260 Sugarpine Cir, Eugene, OR 97402-1044 | 2015-08-05 |
| 1689064545 | Jason Imig | Licensed Practical Nurse | 2984 Floral Hill Dr, Eugene, OR 97403-2221 | 2015-01-30 |
| Find all providers in EUGENE | ||||
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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.