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Kandice Wallis
NPI 1023412012 · Case Manager/Care Coordinator · Ada, OK
Kandice Wallis is a Case Manager/Care Coordinator provider in Ada, OK (NPI 1023412012).
Provider details
- NPI number
- 1023412012
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
314 S. Broadway St.
Ste. 106
Ada, OK 74820
Phone: (888) 272-0210
Fax: (580) 235-0211
Street-level locationGet directions
Mailing address
Po Box 662
Purcell, OK 73080-0662
Registry dates
- Enumerated
- 2014-10-20
- Last updated
- 2014-10-20
Frequently asked questions
- What is Kandice Wallis's NPI number?
- Kandice Wallis's National Provider Identifier (NPI) is 1023412012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kandice Wallis's specialty?
- Kandice Wallis is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Kandice Wallis located?
- Kandice Wallis's practice location on file with NPPES is 314 S. Broadway St., Ada, OK 74820.
- What is Kandice Wallis's phone number?
- The practice phone number listed in the NPPES registry for Kandice Wallis is (888) 272-0210.
- Is Kandice Wallis's NPI active?
- Yes — Kandice Wallis's NPI (1023412012) is active in the NPPES registry as of the last update on 2014-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.