Wallace Elton Twyman III

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3700 Gleaming Dr
North Chesterfield, VA 23237-1960

Phone

(804) 347-7791

NPI assigned

Dec 23, 2019

Sex

Male

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

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1992344964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 GLEAMING DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371960",
            "telephone_number": "804-347-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GLEAMING DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371960",
            "telephone_number": "804-347-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWYMAN",
        "first_name": "WALLACE",
        "middle_name": "ELTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Turner, LMT
• Glenda Turner, CPM
• Jessica Turner
• Merissa June Lantz Turner, NP
• Daniell Twyman
• Milton Frederick Tyler IV, MD
• U-Speak, LLC
• Josue Ugalde Tellez, DDS
• Jonathan Ugalde, MSED, LPC, NCC
• Jillian Ulery

• Student in an Organized Health Care Education/Training Program in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.