Monica Joyce Wallace

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

21862 State Highway 59 S
Robertsdale, AL 36567-6711

Phone

(901) 949-9459

NPI assigned

Jun 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sacred Angels LLC

  • Public Health or Welfare Agency
  • Robertsdale, AL
  • NPI 1124704945
  NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1447936729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21862 HWY 59",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "36567",
            "telephone_number": "901-949-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21862 STATE HIGHWAY 59 S",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676711",
            "telephone_number": "901-949-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MONICA",
        "middle_name": "JOYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Twilley
• W. Jason Northcutt, DMD, PC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Euveta Fran Whitlock, C.R.N.P.
• Wholesale Optical Supply
• Kathleen Wiggins
• Jeffrey Alan Williams, OD
• William Leslie Wingo Jr., DMD

• Adult Companion in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Adult Companion in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.