MRS. DEBRA ANN WALLACE
NPI 1912149188
Nurse's Aide in Tampa, FL

Active since April 02, 2009
5608 KENNY DR, TAMPA, FL 33617(813) 546-4884(813) 983-1860 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Debra Ann Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEBRA ANN WALLACE (NPI 1912149188) is an individual nurse's aide in Tampa, Florida, licensed in Florida (CNA 54979) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1912149188
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMRS. DEBRA ANN WALLACE
Location Address5608 KENNY DRTampa, FL 33617-7711
Mailing Address5608 Kenny DrTampa, FL 33617-7711 · (813) 546-4884 · Fax (813) 983-1860
Fax(813) 983-1860
Sole ProprietorYes
Enumeration DateApril 2, 2009
NPI 1912149188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in FL · CNA 54979
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Also ListedAdult CompanionTaxonomy 372600000X · License 684206296 (FL)
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X · License 684206296 (FL)
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X · License 684206296 (FL)
5608 KENNY DR, Tampa, FL 33617

Other Identifiers 3

Medicaid684206296FL
OtherCNA54979FL · Cna
Medicaid14627300FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
5608 KENNY DR
TAMPA, FL 33617
Home Health
5608 KENNY DR
TAMPA, FL 33617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Wallace's NPI number?

The NPI number for Debra Wallace is 1912149188. It was assigned to this individual provider in the NPPES registry on April 2, 2009.

Where is Debra Wallace located?

Debra Wallace practices at 5608 Kenny Dr, Tampa, FL 33617. The listed phone number is (813) 546-4884.

What is Debra Wallace's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Debra Wallace was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.