KIMBERLY WALLACE LPN
NPI 1750785622
Licensed Practical Nurse in Wampsville, NY

NPI Status: Active since October 21, 2014

Contact Information

138 NORTH COURT STREET
WAMPSVILLE, NY
ZIP 13163
Phone: (315) 366-2490

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  • Individual
  • Female
  • Licensed Practical Nurse

About KIMBERLY WALLACE

This page provides the complete NPI Profile along with additional information for Kimberly Wallace, a provider established in Wampsville, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1750785622 assigned on October 2014. The practitioner's primary taxonomy code is 164W00000X with license number 290441 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1750785622
Provider Name
KIMBERLY WALLACE LPN
Gender
Female
Entity Type
Individual
Location Address
138 NORTH COURT STREET WAMPSVILLE, NY 13163
Location Phone
(315) 366-2490
Mailing Address
2401 CLARK RD CANASTOTA, NY 13032
Mailing Phone
(315) 396-8515
Is Sole Proprietor?
No
Enumeration Date
10-21-2014
Last Update Date
10-21-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
290441
License State
NY
Taxonomy Description
A licensed practical nurse 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750785622
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001481064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 8 + 1 + 0 + 6 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1750785622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437196227 AMINTHA M. SELVARAJAH PA-C
Individual
Physician Assistant138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1346284585MR. GARY ROY ROBERTS CASAC
Individual
Counselor (Addiction (Substance Use Disorder))138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1548204720MS. MARIANNE NASTRI LCSW-R
Individual
Social Worker (Clinical)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1659396075MS. MARLA S. VELKY-REGER LCSW
Individual
Counselor (Mental Health)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1851319461DR. LEWIS A GILBERT M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1669492864MRS. TINA M YOUNG NURSE PRACTITIONER
Individual
Nurse Practitioner (Psychiatric/Mental Health)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1750303202DR. KATHERINE CHRISTINE MACKEY PH.D.
Individual
Psychologist (Clinical)138 NORTH COURT STREET MADISON COUNTY MENTAL HEALTH DEPARTMENT
WAMPSVILLE, NY 13163
(315) 366-2327
1124135595 RUSSELL JAMES STEWART
Individual
Counselor (Addiction (Substance Use Disorder))138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1114025038MISS ELENI KARAYIANNI M.A.
Individual
Counselor (Mental Health)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1922178953 WILLIAM HENRY WALKER CASAC
Individual
Counselor (Addiction (Substance Use Disorder))138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1447443437 TEISHA MARIE COOK LCSW
Individual
Social Worker (Clinical)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1336428259DR. SHANNON K BIRMINGHAM PSY D
Individual
Psychologist138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1700148079 LORI BROCKWAY
Individual
Case Manager/Care Coordinator138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2839
1770848152 SHELLEY PETERSEN
Individual
Specialist138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2363
1720008717DR. DAVID E CARR M.D.
Individual
Psychiatry & Neurology (Psychiatry)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1437371903MS. KIMBERLY CENTORE LCSW
Individual
Social Worker (Clinical)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1346542198MRS. STEPHANIE ANN ANDERSON LCSW
Individual
Social Worker138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1043603822MS. ALEXA BRAYMAN LMSW
Individual
Social Worker138 NORTH COURT STREET #7
WAMPSVILLE, NY 13163
(315) 366-2435
1508878521 SUSAN CHLEBOWSKI M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327
1689780546MADISON COUNTY
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))138 NORTH COURT STREET
WAMPSVILLE, NY 13163
(315) 366-2327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750785622, enumerated in the NPI registry as an "individual" on October 21, 2014

The provider is located at 138 North Court Street Wampsville, Ny 13163 and the phone number is (315) 366-2490

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on October 21, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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