What is Shannon Wallace's NPI number?

Shannon Wallace's National Provider Identifier (NPI) is 1588142574, 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 Specialist (Other Service Providers).

Where is Shannon Wallace located?

Shannon Wallace's practice location on file with NPPES is 8777 254th St, Bellerose, NY 11426-2329.

What is Shannon Wallace's phone number?

The practice phone number listed in the NPPES registry for Shannon Wallace is (347) 324-2766.

Is Shannon Wallace's NPI active?

Yes — Shannon Wallace's NPI (1588142574) is active in the NPPES registry as of the last update on 2018-09-13.

IndividualActive

Shannon Wallace

NPI 1588142574 · Specialist · Bellerose, NY

Shannon Wallace is a Specialist provider in Bellerose, NY (NPI 1588142574).

Provider details

NPI number: 1588142574
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

SpecialistPrimary174400000X
Other Service Providers

Profile Score

Established profile(61/100 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

8777 254th St

Bellerose, NY 11426-2329

Phone: (347) 324-2766

Street-level locationGet directions

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Mailing address