Victoria Catherine Wallace

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

171 Church St Ste 140
Charleston, SC 29401-3136

Phone

(843) 593-1582

NPI assigned

Oct 30, 2023

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)

Not enrolled

Practice roles

Locations

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.

• Visions Light Home Care

  • Home Health Agency
  • Charleston, SC
  • NPI 1366283954
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1619740941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 GIDDINGS WAY APT 12205",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564640",
            "telephone_number": "843-593-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CHURCH ST STE 140",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013136",
            "telephone_number": "843-593-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "VICTORIA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elizabeth Gordon Wallace, FNP
• Katherine Wallace, LISW-CP, MPH
• Kennede Marissa Wallace, PHARMD
• Megan Wallace, LMSW
• Micah Jordan Wallace, PHARM.D.
• Wilber Wallace
• Kaylie Waller
• Kaitlin Wallick, LPC
• Judy R Walling, FNP
• Elizabeth Mary Wallis, M.D.

• Home Health Aide in Charleston, SC
• Providers in Charleston, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.