Julie Wallace

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

319 E 125TH Ter
Kansas City, MO 64145-1659

Phone

(816) 797-9810

NPI assigned

Jul 21, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1215829528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 108TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314019",
            "telephone_number": "816-309-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E 125TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451659",
            "telephone_number": "816-797-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry J Wall, MD
• Allie Wallace, DO
• Cynthia Calbert Wallace, M.D.
• Darryl Wallace, MD
• Dustin P Wallace, PHD
• Laura Wallace
• Sabrina Wallace
• Sarah Jane Wallace, APN
• Stephen Wallace, LMSW
• Olivia Grace Wallen

• Military Health Care Provider in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Military Health Care Provider in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.