Carla Dennise Wallace, A-GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1095104 Issued in TX

Practice address

2421 Copper Sky Dr
Pearland, TX 77584-3782

Phone

(409) 350-0016

Fax

(877) 673-2947

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDHGDD/Endpoint/DDHGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carla Wallace Nurse Practitioner, PLLC

  • Adult Health Nurse Practitioner
  • Pearland, TX
  • NPI 1972322212
  Medicare reassignment NPD Authorized official
• CS Pacs 3 Southwest, LLC

  • Hospitalist Physician
  • Baytown, TX
  • NPI 1275398430
  Medicare reassignment NPD
• Happy Health and Wellness of America PA LLC

  • Family Medicine Physician
  • Waco, TX
  • NPI 1770344889
  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Texas PLLC

  • Hospitalist Physician
  • Addison, TX
  • NPI 1194174201
  Medicare reassignment NPD
• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769
  Medicare reassignment NPD
• Rehabilitation & Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
  • NPI 1437470358
  Medicare reassignment NPD
• Trumen Physicians and Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1134442320
  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1164122149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 COPPER SKY DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843782",
            "telephone_number": "409-350-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 COPPER SKY DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843782",
            "telephone_number": "409-350-0016",
            "fax_number": "877-673-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3129 Kingsley Dr Ste 1940",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775848511",
            "country_code": "US",
            "telephone_number": "346-502-2837",
            "fax_number": "877-673-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CARLA",
        "middle_name": "DENNISE",
        "credential": "A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1095104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Monet Walker
• Elena Walker, NP
• Nicole Walker
• Sharina M. Walker, FNP-C
• Shountrice Walker
• Chloe Wallington
• Megan Walsh, COTA
• Ryan Walsh, M.D.
• Walter J Family and Wellness Clinic PLLC
• Ashley Marie Walton, O.D.

• Gerontology Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.