Katie Wallace
Registered Nurse in Wellington, FL. Individual provider (NPI-1).
NPI number1962394049
StatusActive
Last updated in NPPESJul 15, 2025
Details
- NPI
- 1962394049
- Entity type
- Individual (NPI-1)
- Name
- Katie Wallace
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 9565667 | FL | Yes |
Practice location
917 Cedar Cove RdWellington, FL 33414-6305
Phone 561-635-0903
Mailing address
917 Cedar Cove RdWellington, FL 33414-6305
Phone 561-635-0903
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Registered Nurse providers in Wellington · All 2,194 providers in Wellington
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