Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124641394 Individual Practitioner Male Practitioner

Kyle Wilson Wallace , RN

Registered Nurse • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Kyle Wallace, RN is a registered healthcare professional specializing in Registered Nurse in Maumee, OH. Practice services are available at 1715 INDIAN WOOD CIR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1715 Indian Wood Cir Ste 200

Maumee, OH 435374055

Telephone 9373032710
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Maumee, OH

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

Practicing in Maumee, OH (9958 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

CMS Verified: 2020-05-22
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH RN.423738

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Leslie Witherell , MSW, LISW

Social Worker - Clinical

NPI 1013967702

Master of Social Work, Licensed Independent Social Worker

Michelle Fuhr , AGACNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114452042

Adult-Gerontology Acute Care Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jaime Martin , NP

Nurse Practitioner

NPI 1295300119

Nurse Practitioner

Monique Chatman

Registered Nurse - General Practice

NPI 1326558313
NPI 1346604667

Doctor of Medicine (M.D.), CWSP

Diana Orns-Grant , LISW

Social Worker - Clinical

NPI 1346677838

Licensed Independent Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2020

Registered at 1715 INDIAN WOOD CIR STE 200, MAUMEE, OH 435374055 (Tel: 9373032710)

📍
Updated Business Mailing Address May 22, 2020

Registered at 4737 SADALIA RD, TOLEDO, OH 436232965 (Tel: 7347317476)

👤
Provider Name / Credentials Updated May 22, 2020

Recorded as KYLE WALLACE, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2020

Registered Nurse (License #RN.423738 in OH)

🟢
Initial NPI Registration & Enumeration May 22, 2020

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: 1124641394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2020
Last Update: May 22, 2020
Sole Proprietor: No

Mailing Address

4737 Sadalia Rd

Toledo, OH 436232965

Phone: 7347317476

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.