Ima Latoya Wallace
Technician, Other β’ Jacksonville, FL
9951 Atlantic Blvd Ste 300
Jacksonville, FL 322256574
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
9951 Atlantic Blvd Ste 300
Jacksonville, FL 322256574
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Technician, Other: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Jacksonville and Florida
33 active clinicians are listed under Technician, Other with a practice address in Jacksonville, FL (1,280 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jacksonville
0% of these 33 clinicians have the CMS telehealth indicator.
0% of these 33 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-06-17NUCC Taxonomy Code: 247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9951 ATLANTIC BLVD STE 300, JACKSONVILLE, FL 322256574 (Tel: 8334345223)
Registered at 9951 ATLANTIC BLVD STE 300, JACKSONVILLE, FL 322256574 (Tel: 8334345223)
NPI status registered as active in NPPES database
Registered at 9951 ATLANTIC BLVD STE 434, JACKSONVILLE, FL 322256553 (Tel: 8334345223)
Registered at 1168 W 9TH ST, JACKSONVILLE, FL 322095641 (Tel: 9174544703)
Recorded as IMA WALLACE
Technician, Other
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
9951 Atlantic Blvd Ste 300
Jacksonville, FL 322256574
Phone: 8334345223