IndividualActive
Kimberly Wallace
NPI 1265969133 · Registered Nurse · Bronx, NY
Kimberly Wallace is a Registered Nurse provider in Bronx, NY (NPI 1265969133).
Provider details
- NPI number
- 1265969133
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 731730-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3400 Bainbridge Ave
Bronx, NY 10467-2404
Phone: (917) 450-5763
Street-level locationGet directions
Mailing address
4330 Ely Ave
Bronx, NY 10466-1816
Registry dates
- Enumerated
- 2017-05-22
- Last updated
- 2017-05-22
Frequently asked questions
- What is Kimberly Wallace's NPI number?
- Kimberly Wallace's National Provider Identifier (NPI) is 1265969133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wallace's specialty?
- Kimberly Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Kimberly Wallace located?
- Kimberly Wallace's practice location on file with NPPES is 3400 Bainbridge Ave, Bronx, NY 10467-2404.
- What is Kimberly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace is (917) 450-5763.
- Is Kimberly Wallace's NPI active?
- Yes — Kimberly Wallace's NPI (1265969133) is active in the NPPES registry as of the last update on 2017-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.