What is Demetre Wallace's NPI number?

Demetre Wallace's National Provider Identifier (NPI) is 1639017445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Demetre Wallace's specialty?

Demetre Wallace is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Demetre Wallace located?

Demetre Wallace's practice location on file with NPPES is 300 Central Ave Sw Ste 1500e, Albuquerque, NM 87102-3293.

What is Demetre Wallace's phone number?

The practice phone number listed in the NPPES registry for Demetre Wallace is (505) 369-1731.

Is Demetre Wallace's NPI active?

Yes — Demetre Wallace's NPI (1639017445) is active in the NPPES registry as of the last update on 2026-03-23.

IndividualActive

Demetre Wallace, CHW

NPI 1639017445 · Community Health Worker · Albuquerque, NM

Demetre Wallace, CHW is a Community Health Worker provider in Albuquerque, NM (NPI 1639017445).

Provider details

NPI number: 1639017445
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: CHW
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(46/100 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

300 Central Ave Sw Ste 1500e

Albuquerque, NM 87102-3293

Phone: (505) 369-1731

Fax: (505) 218-9307

Street-level locationGet directions

More NM providers

Mailing address