What is Tina Wallace's NPI number?

Tina Wallace's National Provider Identifier (NPI) is 1881234219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tina Wallace's specialty?

Tina Wallace is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).

Where is Tina Wallace located?

Tina Wallace's practice location on file with NPPES is 755 S Beckham Ave, Tyler, TX 75701-1903.

What is Tina Wallace's phone number?

The practice phone number listed in the NPPES registry for Tina Wallace is (903) 534-4684.

Is Tina Wallace's NPI active?

Yes — Tina Wallace's NPI (1881234219) is active in the NPPES registry as of the last update on 2020-01-14.

IndividualActive

Tina Wallace

NPI 1881234219 · Licensed Vocational Nurse · Tyler, TX

Tina Wallace is a Licensed Vocational Nurse provider in Tyler, TX (NPI 1881234219).

Provider details

NPI number: 1881234219
Entity type: Individual
Primary specialty: Licensed Vocational NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 349630 (TX)

Specialties & taxonomies

Licensed Vocational NursePrimary164X00000XLicense 349630 (TX)
Nursing Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 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

755 S Beckham Ave

Tyler, TX 75701-1903

Phone: (903) 534-4684

Street-level locationGet directions

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Mailing address