Anne Elizabeth Wallace, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN18759 Issued in NV

Practice address

850 Mill St Ste 301
Reno, NV 89502-1484

Phone

(775) 982-4948

Fax

(775) 982-5240

NPI assigned

Jul 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1194744623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 301",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021484",
            "telephone_number": "775-982-4948",
            "fax_number": "775-982-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 301",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021484",
            "telephone_number": "775-982-4948",
            "fax_number": "775-982-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "RN18759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507632",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Walker, PHARM.D.
• Stephanie Walker, M.S. MFT
• Travis Craig Walker, MD
• Chris Wall, M.D.
• Aaron David Wallace, M.D.
• Brinn Kathleen Wallace, MA
• Bruce J Wallace, M.D.
• Caitlyn Maureen Wallace, LCSW
• Clinton Edward Wallace
• David Lamonte Wallace

• Psychiatric/Mental Health Registered Nurse in Reno, NV
• Providers in Reno, NV by specialty
• Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.