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Andrea Wallace
NPI 1790654168 · Peer Specialist · Lawton, OK
Andrea Wallace is a Peer Specialist provider in Lawton, OK (NPI 1790654168).
Provider details
- NPI number
- 1790654168
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(52/100 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
2 documented practice locations
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
2 Se Lee Blvd
Lawton, OK 73501-2409
Phone: (580) 248-5780
Street-level locationGet directions
Mailing address
602 Sw 38th St
Lawton, OK 73505-6912
Additional practice locations (1)
- 602 Sw 38th StLawton, OK 73505-6912Phone: (580) 248-5780
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-07
- Certified
- 2025-11-03
Frequently asked questions
- What is Andrea Wallace's NPI number?
- Andrea Wallace's National Provider Identifier (NPI) is 1790654168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Wallace's specialty?
- Andrea Wallace is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Andrea Wallace located?
- Andrea Wallace's practice location on file with NPPES is 2 Se Lee Blvd, Lawton, OK 73501-2409.
- What is Andrea Wallace's phone number?
- The practice phone number listed in the NPPES registry for Andrea Wallace is (580) 248-5780.
- Is Andrea Wallace's NPI active?
- Yes — Andrea Wallace's NPI (1790654168) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.