Annmarie Cynthia Wallace

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA12922 Issued in DC

Practice address

836 Fairoak Ave
Hyattsville, MD 20783

Phone

(347) 369-5492

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154843712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 FAIROAK AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833139",
            "telephone_number": "347-369-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FAIROAK AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20783",
            "telephone_number": "347-369-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ANNMARIE",
        "middle_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon Waithe, LMSW
• Favour Sankanyin Wala
• Joy Wubnyonga Wala
• Tatiana Naomi Walker
• Theodora Walker
• Marissa Wallace, LMSW
• McClellan Walther, M.D.
• Taneka T Walton, LLMSW
• Mulum M Wambang
• Thierry Hermann Wambo

• Home Health Aide in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Home Health Aide in Maryland

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