Katrice Wallace'Redmond

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

634 Capitol Heights Blvd
Capitol Heights, MD 20743-2901

Phone

(202) 722-7776

NPI assigned

Jun 7, 2013

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 names 1

• Katrice Wallace Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1477991883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 CAPITOL HEIGHTS BLVD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 CAPITOL HEIGHTS BLVD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432901",
            "telephone_number": "202-722-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE'REDMOND",
        "first_name": "KATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRICE",
            "last_name": "WALLACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Void, PH.D. LGPC
• Jeffrey Voorhees
• Tonya Lavon Wagoner, LGPC
• Kawanis Walker, CNA
• Samara Kache Wallace
• Steve Lorenzo Ward
• Alvoid Washington
• Breona Chanel Washington
• Courtney Dawn Washington
• Dionne Washington

• Home Health Aide in Capitol Heights, MD
• Providers in Capitol Heights, 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 22, 2016; 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.