What is La'Taja Wallace's NPI number?

La'Taja Wallace's National Provider Identifier (NPI) is 1902351745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is La'Taja Wallace's specialty?

La'Taja Wallace is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is La'Taja Wallace located?

La'Taja Wallace's practice location on file with NPPES is 3407 Shamrock Ct, Gautier, MS 39553-5337.

What is La'Taja Wallace's phone number?

The practice phone number listed in the NPPES registry for La'Taja Wallace is (228) 497-0690.

Is La'Taja Wallace's NPI active?

Yes — La'Taja Wallace's NPI (1902351745) is active in the NPPES registry as of the last update on 2016-08-22.

IndividualActive

La'Taja Wallace

NPI 1902351745 · Case Manager/Care Coordinator · Gautier, MS

La'Taja Wallace is a Case Manager/Care Coordinator provider in Gautier, MS (NPI 1902351745).

Provider details

NPI number: 1902351745
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other 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
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

3407 Shamrock Ct

Gautier, MS 39553-5337

Phone: (228) 497-0690

Street-level locationGet directions

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Mailing address