Kelly Wallis, FNP-C
NPI 1790454130 · Family Nurse Practitioner · San Diego, CA
Kelly Wallis, FNP-C is a Family Nurse Practitioner provider in San Diego, CA (NPI 1790454130).
Provider details
- NPI number
- 1790454130
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 838204 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Frequently asked questions
- What is Kelly Wallis's NPI number?
- Kelly Wallis's National Provider Identifier (NPI) is 1790454130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wallis's specialty?
- Kelly Wallis is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Wallis located?
- Kelly Wallis's practice location on file with NPPES is 3020 Childrens Way, San Diego, CA 92123-4223.
- What is Kelly Wallis's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wallis is (858) 966-8800.
- Is Kelly Wallis's NPI active?
- Yes — Kelly Wallis's NPI (1790454130) is active in the NPPES registry as of the last update on 2022-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.