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Simmone Wallace
NPI 1164995650 · Community Health Worker · Bronx, NY
Simmone Wallace is a Community Health Worker provider in Bronx, NY (NPI 1164995650).
Provider details
- NPI number
- 1164995650
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
529 Courtlandt Ave
Bronx, NY 10451-5007
Phone: (917) 204-1937
Street-level locationGet directions
Mailing address
668 E 226th St Apt 4b
Bronx, NY 10466-3968
Registry dates
- Enumerated
- 2019-01-07
- Last updated
- 2019-01-07
Frequently asked questions
- What is Simmone Wallace's NPI number?
- Simmone Wallace's National Provider Identifier (NPI) is 1164995650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simmone Wallace's specialty?
- Simmone Wallace is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Simmone Wallace located?
- Simmone Wallace's practice location on file with NPPES is 529 Courtlandt Ave, Bronx, NY 10451-5007.
- What is Simmone Wallace's phone number?
- The practice phone number listed in the NPPES registry for Simmone Wallace is (917) 204-1937.
- Is Simmone Wallace's NPI active?
- Yes — Simmone Wallace's NPI (1164995650) is active in the NPPES registry as of the last update on 2019-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.