Elizabeth Ann Wallace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-05289 Issued in OH

Practice address

8311 N High St
Columbus, OH 43235-6459

Phone

(614) 888-9355

NPI assigned

Aug 21, 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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Ability Chiropractic New Albany LLCGroup PAC ID 7012459688, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ability Chiropractic New Albany LLC

  • Chiropractor
  • Westerville, OH
  • NPI 1619744711
  Medicare reassignment Care Compare group NPD
• Ability Chiropractic Inc

  • Chiropractor
  • Columbus, OH
  • NPI 1649537457
  Medicare reassignment NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1992589105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 E RICH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051865",
            "telephone_number": "940-634-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356459",
            "telephone_number": "614-888-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Wallace, CNP
• Connie L. Wallace, LPCC-S
• Crisha Marie Wallace, CDCA
• Daiveah Wallace
• Deanna Marie Wallace
• Hailey D Wallace, CRNA
• Janet Ann Wallace, CNP
• Jastyn N Wallace, MSW, LISW
• Kelly Dugan Wallace
• Margot Wallace, RN, LSN

• Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.