What is Shannon Wallace's NPI number?

Shannon Wallace's National Provider Identifier (NPI) is 1114808110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Wallace's specialty?

Shannon Wallace is listed in the NPPES registry with a primary specialty of Doula (Nursing Service Related Providers).

Where is Shannon Wallace located?

Shannon Wallace's practice location on file with NPPES is 31835 Emerald Dr, Winchester, CA 92596-9080.

What is Shannon Wallace's phone number?

The practice phone number listed in the NPPES registry for Shannon Wallace is (210) 589-0046.

Is Shannon Wallace's NPI active?

Yes — Shannon Wallace's NPI (1114808110) is active in the NPPES registry as of the last update on 2025-09-08.

IndividualActive

Shannon Wallace

NPI 1114808110 · Doula · Winchester, CA

Shannon Wallace is a Doula provider in Winchester, CA (NPI 1114808110).

Provider details

NPI number: 1114808110
Entity type: Individual
Primary specialty: DoulaNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

DoulaPrimary374J00000X
Nursing Service Related Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

31835 Emerald Dr

Winchester, CA 92596-9080

Phone: (210) 589-0046

Street-level locationGet directions

More CA providers

Mailing address