Provider Type Icon

MRS. DEBRA ANN WALLACE NPI 1912149188


NPI Information

NPI: 1912149188
Provider Name: MRS. DEBRA ANN WALLACE
Classification: Nurse's Aide - 376K00000X
Entity Type: Individual
Address:
5608 KENNY DR
TAMPA, FL
ZIP 33617
Phone: (813) 546-4884
Get Directions

MRS. Debra Ann Wallace is a nurses aide in Tampa, FL. The provider is (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. MRS. Debra Ann Wallace NPI is 1912149188. 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:

5608 KENNY DR
TAMPA, FL
ZIP 33617-711
Phone: (813) 546-4884
Fax: (813) 983-1860

The enumeration date for this NPI number is 4/2/2009 and was last updated on 4/2/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747A0650XTechnicianAttendant Care Provider684206296FLORIDANo
23747P1801XTechnicianPersonal Care Attendant684206296FLORIDANo
3372600000XAdult Companion684206296FLORIDANo
4376K00000XNurse's AideCNA 54979FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1684206296MEDICAIDFLORIDA
2CNA54979OTHERFLORIDACNA
314627300MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.