Individual provider Active NPI

Monica Theresa Pagliarulo-Wallace, CPM, LM

  • Midwife
  • Delray Beach, FL
National Provider Identifier
1194077032
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW326 Issued in FL
Practice address
353 N Swinton Ave
Delray Beach, FL 33444-2725
Phone
(561) 729-6837
Fax
(561) 952-0856
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW326 FL Primary
Doula 374J00000X

Addresses

Primary practice location

353 N Swinton Ave
Delray Beach, FL 33444-2725

Mailing address

353 N Swinton Ave
Delray Beach, FL 33444-2725
Phone (561) 729-6837

Other names 1

  • Monica Theresa Wallace Other name

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

LicenseStateTypeSpecialty
MW326FLMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1194077032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N SWINTON AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442725",
            "telephone_number": "561-729-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N SWINTON AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442725",
            "telephone_number": "561-729-6837",
            "fax_number": "561-952-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIARULO-WALLACE",
        "first_name": "MONICA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW326",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "WALLACE",
            "middle_name": "THERESA",
            "credential": "CPM, LM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.