Active NPI
Danhua K Wallace, ARNP
- Nurse Practitioner
- Coupeville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006550
- Practice address
- 101 N. Main Street
Coupeville, WA 98239 - Phone
- (360) 678-7656
- NPI assigned
- May 31, 2007
- Last updated
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006550 | WA | Primary |
| Nurse Practitioner | 363L00000X | H138175 | IA |
Addresses
Primary practice location
101 N. Main Street
Coupeville, WA 98239
Mailing address
101 N. Main Street
Coupeville, WA 98239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01375308 | Other | IA | RR MEDICARE |
| 1134320401 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1717 S J St
Tacoma, WA 98405-4933
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006550 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656
1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
34515 9th Ave S
#136
Federal Way, WA 98003
11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1717 S J St
Stop 136
Tacoma, WA 98405
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Nurse Practitioner
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
dba Sound Inpatient Physicians
- Hospitalist Physician
- Spokane, WA
- NPI 1275785107
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
dba Franciscan Medical Clinic-Gig Harbor
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1134320401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N. MAIN STREET",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "98239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N. MAIN STREET",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "98239",
"telephone_number": "360-678-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "DANHUA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006550",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H138175",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01375308",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134320401",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.