Jessica Wallace, PHD, AT, ATC

ActiveIndividual ProviderSpecialty not listed
NPI issued: September 17, 2017

Quick Facts

NPI Number
1235658626
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2255A2300X — Specialty not listed
Phone
(330) 941-2577
StateOH

NPI Validation Status: Verified

Valid 10-digit NPI number (1235658626)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 17, 2017)
Data source: CMS NPPES

Provider Overview

JESSICA WALLACE, PHD, AT, ATC is a Healthcare provider based in Youngstown, OH who has been registered with CMS since 2017. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1235658626
Provider TypeIndividual Provider
GenderFemale
CredentialPHD, AT, ATC
StatusActive
Enumeration DateSeptember 17, 2017

Practice Location

CityYoungstown
StateOH
ZIP Code44555-0001
Phone(330) 941-2577

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2255A2300X
License StateOH

Mailing Address

CityYoungstown
StateOH
ZIP Code44555-0001
Phone(330) 941-2577
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1235658626 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1235658626for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1235658626 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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48,897
Specialty not listed Providers in the US

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People Also Ask

What is Jessica Wallace's NPI number?
Jessica Wallace's NPI number is 1235658626, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jessica Wallace's NPI currently active?
Yes, Jessica Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Jessica Wallace specialize in?
Jessica Wallace specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2255A2300X.
Where does Jessica Wallace practice?
Jessica Wallace practices in Youngstown, OH 44555-0001.
When was Jessica Wallace's NPI issued?
Jessica Wallace's NPI was issued on September 17, 2017.
What is Jessica Wallace's provider type?
Jessica Wallace is registered as an Individual Provider under CMS NPI Type 1.