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Active NPI 1417201625 Individual Practitioner Female Practitioner

Christine Elaine Wallace

Licensed Practical Nurse • Louisa, KY

Professional Overview & Biography Verified Profile Summary

Christine Wallace is a registered healthcare professional specializing in Licensed Practical Nurse in Louisa, KY. Practice services are available at 2160 HIGHWAY 2565 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2160 Highway 2565

Louisa, KY 412309166

Telephone 4104633865

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Louisa, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Louisa, KY (422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 115096

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ohio Board Of Nursing
115096 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2012

Registered at 2160 HIGHWAY 2565, LOUISA, KY 412309166 (Tel: 4104633865)

📍
Updated Business Mailing Address November 09, 2012

Registered at 2160 HIGHWAY 2565, LOUISA, KY 412309166 (Tel: 4104633865)

👤
Provider Name / Credentials Updated November 09, 2012

Recorded as CHRISTINE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2012

Licensed Practical Nurse (License #115096 in OH)

🟢
Initial NPI Registration & Enumeration November 09, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417201625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2012
Last Update: November 09, 2012
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2160 Highway 2565

Louisa, KY 412309166

Phone: 4104633865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.