Karrina Wallace, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

0000106 Issued in CO

Practice address

244 N Washington St
Denver, CO 80203-4264

Phone

(720) 279-8726

NPI assigned

Oct 23, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponderosa Natural Medicine LLC

  • Naturopath
  • Denver, CO
  • NPI 1881065837
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1083086532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N WASHINGTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N WASHINGTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034264",
            "telephone_number": "720-279-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KARRINA",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "0000106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Dawn Wallace
• Gerald F Wallace, DDS
• Graham Wilson Wallace, MD
• Jessica Danielle Wallace, MD
• Julie Gilman Wallace, P.T.
• Madison Wallace
• Nicole Marie Wallace, PH.D.
• Stephen Blake Wallace, MD
• Wallach Womens Wellness
• Emily Nicole Wallbank

• Naturopath in Denver, CO
• Providers in Denver, CO by specialty
• Naturopath in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.