La' Taysia Wallace, MSN, RN, CPNP-PC
NPI 1114297074 · Pediatric Nurse Practitioner · Huntington Station, NY
La' Taysia Wallace, MSN, RN, CPNP-PC is a Pediatric Nurse Practitioner provider in Huntington Station, NY (NPI 1114297074).
Provider details
- NPI number
- 1114297074
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 716807-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2012-01-10
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is La' Taysia Wallace's NPI number?
- La' Taysia Wallace's National Provider Identifier (NPI) is 1114297074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is La' Taysia Wallace's specialty?
- La' Taysia Wallace is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is La' Taysia Wallace located?
- La' Taysia Wallace's practice location on file with NPPES is 21 Penny Dr, Huntington Station, NY 11746-3422.
- What is La' Taysia Wallace's phone number?
- The practice phone number listed in the NPPES registry for La' Taysia Wallace is (516) 850-9623.
- Is La' Taysia Wallace's NPI active?
- Yes — La' Taysia Wallace's NPI (1114297074) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.