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John D Wallace

Homemaker β€’ Miami, FL

Active NPI 1679900161 Individual Practitioner Male Practitioner
Practice location in NPPES

1455 Nw 53rd St Apt 222
Miami, FL 33142

Call 9044183893 Location details and other listings
Medical Disclaimer

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

Practice Address

1455 Nw 53rd St Apt 222

Miami, FL 33142

Telephone 9044183893

NPI first issued

2013

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Miami and Florida

25 active clinicians are listed under Homemaker with a practice address in Miami, FL (789 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Miami

0% of these 25 clinicians have the CMS telehealth indicator.

0% of these 25 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

Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

License # reported to NPPES FL 235276

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Respite Care

NUCC Taxonomy Code: 385H00000X

License # reported to NPPES FL 235276
Adult Companion

NUCC Taxonomy Code: 372600000X

License # reported to NPPES FL 235276

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 29, 2018

Registered at 1455 NW 53RD ST APT 222, MIAMI, FL 33142 (Tel: 9044183893)

πŸ“
Updated Business Mailing Address June 29, 2018

Registered at 15286 SW 104TH ST APT 2-22, MIAMI, FL 331963238 (Tel: 9044183893)

βœ…
NPI Profile Active September 30, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 30, 2013

Registered at 122 WOLF TAIL CT SW, ATLANTA, GA 303496547 (Tel: 3235583416)

πŸ“
Business Mailing Address (Initial Record) September 30, 2013

Registered at 122 WOLF TAIL CT SW, ATLANTA, GA 303496547 (Tel: 3235583416)

πŸ‘€
Provider Name / Credentials (Initial Record) September 30, 2013

Recorded as JOHN WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2013

Counselor

🟒
Initial NPI Registration & Enumeration September 30, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679900161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2013
Last Update: June 29, 2018
Sole Proprietor: Yes

Mailing Address

15286 Sw 104th St Apt 2-22

Miami, FL 331963238

Phone: 9044183893

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.