MRS. DEBRA ANN WALLACE
NPI 1912149188
Nurse's Aide in Tampa, FL
NPI Status: Active since April 02, 2009
Contact Information
5608 KENNY DR
TAMPA, FL
ZIP 33617
Phone: (813) 546-4884
Fax: (813) 983-1860
- Individual
- Female
- Nurse's Aide
About DEBRA WALLACE
This page provides the complete NPI Profile along with additional information for Debra Wallace, a provider established in Tampa, Florida with a medical specialization in Nurse's Aide. The healthcare provider is registered in the NPI registry with number 1912149188 assigned on April 2009. The practitioner's primary taxonomy code is 376K00000X with license number CNA 54979 (FL). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1912149188
- Provider Name
- MRS. DEBRA ANN WALLACE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5608 KENNY DR TAMPA, FL 33617
- Location Phone
- (813) 546-4884
- Location Fax
- (813) 983-1860
- Mailing Address
- 5608 KENNY DR TAMPA, FL 33617
- Mailing Phone
- (813) 546-4884
- Mailing Fax
- (813) 983-1860
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-02-2009
- Last Update Date
- 04-02-2009
- 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
Nurse's Aide
- Taxonomy Code
- 376K00000X
- Type
- Nursing Service Related Providers
- License No.
- CNA 54979
- License State
- FL
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 372600000X | Nursing Service Related Providers | Adult Companion | 684206296 (FL) |
| 2 | 3747A0650X | Nursing Service Related Providers | Technician | 684206296 (FL) |
| 3 | 3747P1801X | Nursing Service Related Providers | Technician | 684206296 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 684206296 | MEDICAID (05) | FL | |
| CNA54979 | OTHER (01) | FL | CNA |
| 14627300 | MEDICAID (05) | FL |
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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 | 9 | 1 | 2 | 1 | 4 | 9 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 2 | 4 | 18 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 2 + 4 + 1 + 8 + 1 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1912149188 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740591718 | DEBRA'S DIVINE CARE LLC Organization | Home Health | 5608 KENNY DR TAMPA, FL 33617 (813) 546-4884 |
| 1275892564 | DEBRA'S DIVINE CARE INC Organization | Home Health | 5608 KENNY DR TAMPA, FL 33617 (813) 546-4884 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912149188, enumerated in the NPI registry as an "individual" on April 02, 2009
The provider is located at 5608 Kenny Dr Tampa, Fl 33617 and the phone number is (813) 546-4884
The provider's speciality is Nurse's Aide with taxonomy code 376K00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 02, 2009. 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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