Jennifer Wallace
NPI 1356968440ActiveIndividual· Technician, Pathology, Phlebotomy· Everett, WA
Technician, Pathology, Phlebotomy in Everett, Washington, licensed in AZ and WA, with an NPI issued in July 2020.
Overview
| NPI | 1356968440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 6, 2020 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology, Phlebotomy Primary | 246RP1900X | — | — |
| Home Health | 251E00000X | — | — |
| Clinical Medical Laboratory | 291U00000X | 1568068609 | AZ |
| Technician, Pathology, Phlebotomy | 246RP1900X | PC61547365 | WA |
| Clinic/Center | 261Q00000X | — | — |
| Home Health Aide | 374U00000X | EXPERIENCED | AZ |
| Clinic/Center, Health Services | 261QH0100X | — | — |
| Home Health Aide | 374U00000X | — | AZ |
| Technician, Other | 247200000X | 032016 | AZ |
| Clinical Medical Laboratory | 291U00000X | 03D2197602 | AZ |
| Nursing Care | 251J00000X | 03D2197602 | AZ |
| Driver | 172A00000X | WDL722Z7B13B | WA |
| Technician/Technologist | 156F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Undefined Non-Physician Type (Specify) |
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