What is Shadava Wallace's NPI number?

Shadava Wallace's National Provider Identifier (NPI) is 1215656517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shadava Wallace's specialty?

Shadava Wallace is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Shadava Wallace located?

Shadava Wallace's practice location on file with NPPES is 136 Meadowview St, Hugo, OK 74743-5402.

What is Shadava Wallace's phone number?

The practice phone number listed in the NPPES registry for Shadava Wallace is (580) 424-4239.

Is Shadava Wallace's NPI active?

Yes — Shadava Wallace's NPI (1215656517) is active in the NPPES registry as of the last update on 2022-08-22.

IndividualActive

Shadava Wallace

NPI 1215656517 · Counselor · Hugo, OK

Shadava Wallace is a Counselor provider in Hugo, OK (NPI 1215656517).

Provider details

NPI number: 1215656517
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

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

Registry tenure38% of score
3 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

136 Meadowview St

Hugo, OK 74743-5402

Phone: (580) 424-4239

Street-level locationGet directions

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Mailing address