SHAWNA LOUISE WALLACE (NPI# 1992369029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992369029 |
| Entity Type | Individual |
| Full Name | SHAWNA LOUISE WALLACE |
| Other Name | SHAWNA LOUISE BASSHAM |
| Credential | LPN |
| Practice Address |
502 4th St Ne Auburn WA 98002-5020 |
| Practice Telephone | 2539314927 |
| Mailing Telephone | 2539314927 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP00053254 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643679 | Shawna Nicole Wallace | Social Worker | 1371 Winged Foot Dr, Apopka, FL 32712-2386 | 2020-09-12 |
| 1417225806 | Shawna T. Wallace | Physical Therapist | 21 Butterfly, Irvine, CA 92604-1951 | 2011-12-13 |
| Street Address |
502 4TH ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350924 | Auburn School District | Local Education Agency (LEA) | 502 4th St Ne, Auburn, WA 98002-5020 | 2006-07-02 |
| 1811595036 | Jina Xin | Speech-Language Pathologist | 502 4th St Ne, Auburn, WA 98002 | 2020-10-09 |
| 1770198236 | Brooke Fox | Occupational Therapist | 502 4th St Ne, Auburn, WA 98002-5020 | 2020-09-11 |
| 1871130583 | Justine Breanne Benner | Physical Therapist | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-12-02 |
| 1881242733 | Rhonda Michelle Forte | Registered Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-09-03 |
| 1811458102 | Melanie Abad Rodrigo | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-28 |
| 1093274953 | Rhonda L Veary | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-19 |
| 1508325713 | Lucrecia Del Rosario Hascup | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-18 |
| 1447718127 | Michaela Dawn Guest | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-12 |
| 1891264941 | Kandice Valerie Llera | Registered Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| 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 |
|---|---|---|---|---|
| 1245842350 | Christine Lynn Deforest | Licensed Practical Nurse | 6644 Pine Ridge Rd, Auburn, NY 13021-8789 | 2020-08-19 |
| 1992314231 | Kendra Ann Gottula | Licensed Practical Nurse | 1829 Central Ave, Auburn, NE 68305-1713 | 2020-07-22 |
| 1497304141 | Lisa Richards | Licensed Practical Nurse | 29205 132nd Ave Se, Auburn, WA 98092-2142 | 2019-09-05 |
| 1497319651 | Pooja Kc | Licensed Practical Nurse | 31518 120th Ct Se, Auburn, WA 98092-5102 | 2019-04-23 |
| 1538629167 | Carole Anne Haynes | Licensed Practical Nurse | 26 Florence St, Auburn, NY 13021-4902 | 2019-03-20 |
| 1851850051 | Maria Liusea Colopelnic | Licensed Practical Nurse | 136 Washington St, Auburn, NY 13021-2446 | 2019-03-18 |
| 1912464991 | Karen Dzuba | Licensed Practical Nurse | 200 Plainview Dr, Auburn, MI 48611-9354 | 2019-02-26 |
| 1891262911 | Clyde Stone | Licensed Practical Nurse | 3624 Auburn Way N, Auburn, WA 98002-1801 | 2018-10-26 |
| 1245721315 | Bonnie L Colella | Licensed Practical Nurse | 128 Melrose Rd, Auburn, NY 13021-9212 | 2018-05-24 |
| 1982115630 | Bethany Brantner | Licensed Practical Nurse | 250 Mcintosh Dr, Auburn, NY 13021-1364 | 2017-10-21 |
| Find all providers in AUBURN | ||||
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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.