Ryan Michael Wallace, HEALTH SERVICES TECH

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

B1552861 Issued in CA

Practice address

5201 Lee Rd
Buzzards Bay, MA 02542-1313

Phone

(508) 968-6572

Fax

(508) 968-6581

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003891920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CARPENTER AVE",
            "address_2": "APT A",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025421587",
            "telephone_number": "508-968-6572",
            "fax_number": "508-968-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 LEE RD",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025421313",
            "telephone_number": "508-968-6572",
            "fax_number": "508-968-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "HEALTH SERVICES TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "B1552861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Vanderslice
• Alyssa Verronneau
• Juan Sebastian Victoria
• Kaitlyn Amanda Violette, PTA
• Sarah Jill Wagner, HS
• Caitlyn Terese Watt, M.A.
• Linda Watt, PHD
• Jodie Lee White, HEALTH SERVICES TEC
• Austin Williams
• Katelyn Mary Elizabeth Williams, PMHNP

• Basic Emergency Medical Technician in Buzzards Bay, MA
• Providers in Buzzards Bay, MA by specialty
• Basic Emergency Medical Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.