Annmarie L Wallace

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

549 E 5TH St
Perrysburg, OH 43551-2221

Phone

(260) 312-2588

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1508540873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E 5TH ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512221",
            "telephone_number": "260-312-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E 5TH ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512221",
            "telephone_number": "260-312-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ANNMARIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Sue Wagner, RPH
• Brian K Wagoner, D.C.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Marie Walters, LSW
• Jessica Ward, APRN-CNP
• Marcia Ward, PHD
• Elizabeth C Wargo, OTR
• Amy Katherine Waters, MD

• Homemaker in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.