Sharon Simara Wallace, HS

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

202 Blossom CT
Paso Robles, CA 93446-2870

Phone

(808) 780-7038

NPI assigned

Aug 28, 2007

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

Credentials

High School Graduate

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1982898540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BLOSSOM CT",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462870",
            "telephone_number": "808-780-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BLOSSOM CT",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462870",
            "telephone_number": "808-780-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SHARON",
        "middle_name": "SIMARA",
        "name_prefix": "Ms.",
        "credential": "HS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie C Walker, MA, PPS
• Darren Walker
• Dustin Walker
• Wallace Home Medical Supplies
• Wallace Home Medical Supplies
• Walmart Inc.
• Mary Margaret Ward, RPH
• Danielle Leigh Warren
• Eileen Warren, PH.D.
• Shelly Ann Watt, CRTT

• Other Technician in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.