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Ebonie Wallace
NPI 1871044255 · Case Manager/Care Coordinator · Daytona Beach, FL
Ebonie Wallace is a Case Manager/Care Coordinator provider in Daytona Beach, FL (NPI 1871044255).
Provider details
- NPI number
- 1871044255
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 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
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
140 S Beach St Ste 310
Daytona Beach, FL 32114-4409
Phone: (386) 898-6040
Fax: (386) 256-2320
Street-level locationGet directions
Mailing address
140 S Beach St
Daytona Beach, FL 32114-4472
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Frequently asked questions
- What is Ebonie Wallace's NPI number?
- Ebonie Wallace's National Provider Identifier (NPI) is 1871044255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebonie Wallace's specialty?
- Ebonie Wallace is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Ebonie Wallace located?
- Ebonie Wallace's practice location on file with NPPES is 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409.
- What is Ebonie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ebonie Wallace is (386) 898-6040.
- Is Ebonie Wallace's NPI active?
- Yes — Ebonie Wallace's NPI (1871044255) is active in the NPPES registry as of the last update on 2021-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.