ELIZABETH ANN WALLACE (NPI# 1982159356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982159356 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN WALLACE |
| Other Name | ELIZABETH A BLAIR |
| Credential | FNP-BC |
| Practice Address |
1422 Old Weisgarber Rd Knoxville TN 37909 |
| Mailing Address |
1422 Old Weisgarber Rd Knoxville TN 37909-1293 |
| Practice Telephone | 8655584400 |
| Mailing Telephone | 8655584400 |
| Mailing Fax Number | 8655584421 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 21538 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
21538 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083017206 | Elizabeth Wallace | Physical Therapist | 1004 Oakgrove Dr, Knightdale, NC 27545-9295 | 2014-10-01 |
| 1104033513 | Elizabeth Wallace | Speech-Language Pathologist | 8215 Westchester Drive, Suite 234, Dallas, TX 75225-6103 | 2007-05-16 |
| 1932220225 | Elizabeth Spagat Wallace | Acupuncturist | 2024 Se Clinton St., Portland, OR 97202 | 2007-04-03 |
| 1609381896 | Elizabeth Wallace | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-10 |
| 1881109320 | Elizabeth Wallace | Counselor | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2017-12-06 |
| 1275902462 | Elizabeth Wallace | Counselor | 111 W Anderson Ln, Suite D197, Austin, TX 78752-1132 | 2015-09-18 |
| 1912302423 | Elizabeth Wallace | Social Worker | 13207 Wright Rd, Buda, TX 78610-5000 | 2014-10-27 |
| 1649687799 | Elizabeth A Wallace | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2014-07-21 |
| 1942617626 | Elizabeth Wallace | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2014-07-15 |
| 1427478593 | Elizabeth Wallace | Emergency Medicine | 1 Boston Medical Ctr Pl, Dowling 1, Boston, MA 02118-2908 | 2014-04-16 |
| Street Address |
1422 OLD WEISGARBER RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178880 | Richard Capo | Physician Assistant | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2005-10-20 |
| 1831714252 | Richard Matthew Fennell | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2020-06-11 |
| 1578100210 | Hannah R Hartman | Physician Assistant | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2019-12-02 |
| 1699233353 | Kristen Cook | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2019-03-12 |
| 1861950958 | Hannah Melhorn | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2019-03-07 |
| 1063989739 | Rachel Diane Kohn | Physician Assistant | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2018-10-31 |
| 1992242887 | Brandy Massey | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2017-01-30 |
| 1366989469 | Brian Loeffler | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2017-01-26 |
| 1962854968 | Matej Bosnjak | Registered Nurse | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2016-07-01 |
| 1760843254 | Cody Blackford | Specialist/Technologist | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2016-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1588274542 | Heather Herren | Nurse Practitioner | 12337 N Fox Den Dr, Knoxville, TN 37934-3713 | 2020-08-05 |
| 1194333849 | Kaci Carol Newlin | Nurse Practitioner | 1924 Alcoa Hwy # C460, Knoxville, TN 37920-1511 | 2020-07-20 |
| 1801428958 | Alexandria Paige Watson | Nurse Practitioner | 4928 Homberg Dr Ste 27, Knoxville, TN 37919-5145 | 2020-02-06 |
| 1891333191 | Knoxville Home Care Services LLC | Nurse Practitioner | 1512 Coleman Rd Ste 302, Knoxville, TN 37909-2828 | 2019-12-17 |
| 1184267148 | Becky Lynn Lyons Dills | Nurse Practitioner | 1220 Amber Meadows Cir, Knoxville, TN 37932-2401 | 2019-10-22 |
| 1083260764 | Logan Dameron | Nurse Practitioner | 4156 Walker Blvd, Knoxville, TN 37917-2217 | 2019-08-17 |
| 1518510163 | Dusti Autumn Jones | Nurse Practitioner | 3325 Barbury Ln, Knoxville, TN 37931-1443 | 2019-07-23 |
| 1487206777 | Harli-blaine L Oran | Nurse Practitioner | 4713 Papermill Dr Ste 301, Knoxville, TN 37909-1908 | 2019-07-16 |
| 1942764907 | Andrew Russell Brower | Nurse Practitioner | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2019-01-24 |
| Find all providers in KNOXVILLE | ||||
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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.