Active NPI
Sheri Anne Wallace, NBCHWC
- Health Educator
- St Petersburg, FL
National Provider Identifier
1174173348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 7901 4TH St N Ste 300
St Petersburg, FL 33702-4399 - Phone
- (904) 271-5456
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | MH3003R | FL |
Addresses
Primary practice location
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Mailing address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (904) 271-5456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH3003 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1174173348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "904-271-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "904-271-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "SHERI",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "NBCHWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH3003R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.