Alona Wallace, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11018027 Issued in FL

Practice address

900 Pine St Unit 216-217
Englewood, FL 34223-4418

Phone

(941) 474-5093

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECADAA/Endpoint/ECADAA

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.

• Englewood Pediatrics, P.a.

  • Pediatrics Physician
  • Englewood, FL
  • NPI 1356470744

  Pediatrics

  NPD (past)
• Ira Fialko DO PA

  • Rural Health Clinic/Center
  • Crystal River, FL
  • NPI 1770865917

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1093460412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 EISENHOWER DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342754411",
            "telephone_number": "813-451-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST UNIT 216-217",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234418",
            "telephone_number": "941-474-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ALONA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "11018027",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11018027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Mary Walker, SLP
• Elizabeth Ashley Walters
• Thomas G Washburn Jr., AP, LMT
• Roseanne Weaver, M.A.
• Weerasooriya & Weerasooriya, DMD, PA
• Weerasooriya and Weerasooirya DMD PA

• All providers in Englewood, FL
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.