CATHERINE WALLACE NP NPI 1033200431

NPI Information

NPI: 1033200431
Provider Name: CATHERINE WALLACE, NP
Classification: Nurse Practitioner - 363LP1700X
Entity Type: Individual

Specialization: Perinatal

Organization: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
1250 E 9TH ST
DES MOINES, IA
ZIP 50316
Phone: (515) 263-2600
Get Directions

Catherine Wallace, NP is a perinatal nurse practitioner in Des Moines, IA with 19 years of experience. Catherine Wallace, NP NPI is 1033200431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 E 9TH ST
DES MOINES, IA
ZIP 50316-316
Phone: (515) 263-2600
Fax: (515) 263-2620

The NPI 1033200431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 4/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	A106126	IOWA	No
2	363LP1700X	Nurse Practitioner	Perinatal	A106126	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1033200431	MEDICAID	IOWA
2	719260756	MEDICARE PIN	IOWA
3	IA0104	OTHER	IOWA	JOHN DEERE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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