Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306431101 Individual Practitioner Female Practitioner

Angela M Wallace , LPN

Licensed Practical Nurse • Greeneville, TN

Professional Overview & Biography Verified Profile Summary

Angela Wallace, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Greeneville, TN. Practice services are available at 401 HOLSTON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 Holston Dr

Greeneville, TN 377433127

Telephone 4236391104
Fax 4234673644
Associated Practice Facility / Clinic
🏢 Frontier Health Facility NPI 1760547004

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Greeneville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Greeneville, TN (1262 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: 2021-03-03
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN 61990

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003055807

Master of Arts

Valerie Arrington , BS

Case Manager/Care Coordinator

NPI 1003153404

Bachelor of Science

Danita Corby , AN

Registered Nurse

NPI 1003156704
Jacqueline Katko , BS

Case Manager/Care Coordinator

NPI 1003259516

Bachelor of Science

Matthew Midkiff , LPC, MHSP

Counselor - Professional

NPI 1003570615

Licensed Professional Counselor, MHSP

NPI 1003829144

LPCMHSPLICENSEDPR

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2021

Registered at 401 HOLSTON DR, GREENEVILLE, TN 377433127 (Tel: 4236391104)

📍
Updated Business Mailing Address March 03, 2021

Registered at 1167 SPRATLIN PARK DR, GRAY, TN 376156205 (Tel: 4234673600)

👤
Provider Name / Credentials Updated March 03, 2021

Recorded as ANGELA WALLACE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2021

Licensed Practical Nurse (License #61990 in TN)

🟢
Initial NPI Registration & Enumeration March 03, 2021

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: 1306431101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2021
Last Update: March 03, 2021
Sole Proprietor: No

Mailing Address

1167 Spratlin Park Dr

Gray, TN 376156205

Phone: 4234673600

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.