Lori Ann Wallace, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN113993 Issued in OH

Practice address

116 W Columbus St
West Liberty, OH 43357-1100

Phone

(937) 844-8186

NPI assigned

Jul 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1396231924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLUMBUS ST",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433571100",
            "telephone_number": "937-844-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLUMBUS ST",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433571100",
            "telephone_number": "937-844-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN113993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula A Strebig, CNP
• Steven R Toney, M.D.
• Joshua J Usserman, APRN-CNP
• Sara J Varner
• Lindsay Walker
• Paul Dale Warrick-Schkolnik, PHD
• West Liberty Care Center Inc (Green Hills Center)
• West Liberty Care Center Inc (Green Hills Center - Daybreak)
• West Liberty Care Center Inc (Green Hills Inn)
• West Liberty Care Center, Inc. (Otterbein Green Hills)

• Licensed Practical Nurse in West Liberty, OH
• Providers in West Liberty, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.