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
- 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
- Code Navigator
Location Map
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. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 8 | 5 | 6 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 8 | 10 | 6 | 4 | |
| 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 = 2 | 2 | ||||||||
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 Assistant | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1346284585 | MR. GARY ROY ROBERTS CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1548204720 | MS. MARIANNE NASTRI LCSW-R Individual | Social Worker (Clinical) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1659396075 | MS. MARLA S. VELKY-REGER LCSW Individual | Counselor (Mental Health) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1851319461 | DR. LEWIS A GILBERT M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1669492864 | MRS. TINA M YOUNG NURSE PRACTITIONER Individual | Nurse Practitioner (Psychiatric/Mental Health) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1750303202 | DR. 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 |
| 1114025038 | MISS 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 |
| 1336428259 | DR. SHANNON K BIRMINGHAM PSY D Individual | Psychologist | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1700148079 | LORI BROCKWAY Individual | Case Manager/Care Coordinator | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2839 |
| 1770848152 | SHELLEY PETERSEN Individual | Specialist | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2363 |
| 1720008717 | DR. DAVID E CARR M.D. Individual | Psychiatry & Neurology (Psychiatry) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1437371903 | MS. KIMBERLY CENTORE LCSW Individual | Social Worker (Clinical) | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1346542198 | MRS. STEPHANIE ANN ANDERSON LCSW Individual | Social Worker | 138 NORTH COURT STREET WAMPSVILLE, NY 13163 (315) 366-2327 |
| 1043603822 | MS. ALEXA BRAYMAN LMSW Individual | Social Worker | 138 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 |
| 1689780546 | MADISON 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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