Sarah Wallace, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1517 Issued in TN

Practice address

2400 Patterson St
Suite 311
Nashville, TN 37203-1562

Phone

(615) 342-6830

Fax

(615) 342-6836

NPI assigned

Oct 11, 2006

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)

Enrolled

Credentials

Physician Assistant

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.

• Hospitalists at Centennial Medical Center LLC

  • Specialist
  • Nashville, TN
  • NPI 1063566156
  NPD (past)
• Olympic Consulting, LLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1689652018
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1245328285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 311",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-342-6830",
            "fax_number": "615-342-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 311",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-342-6830",
            "fax_number": "615-342-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Wallace
• Matthew Wallace
• Nikki L Wallace, CRNA
• Rodger T Wallace, M.D.
• Roy Trent Wallace, MD
• Stuart C Wallace, CRNA
• Tift Palmer Wallace, CPNP
• Ahreanna Wallen, LMSW
• Christina Paige Waller, APRN
• Lauren Kathleen Waller, PT, DPT

• Medical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.