Narquinta Lashay Wallace, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002075543 Issued in VA

Practice address

4926 W Broad St
Richmond, VA 23230-3122

Phone

(804) 673-5241

Fax

(804) 977-6244

NPI assigned

Sep 3, 2021

Last updated

Sep 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1497423354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 WATTS LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231939",
            "telephone_number": "804-833-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303122",
            "telephone_number": "804-673-5241",
            "fax_number": "804-977-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "NARQUINTA",
        "middle_name": "LASHAY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002075543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Wallace
• Letitia J Wallace, PMHNP-BC
• Matthew Malone Wallace, M.D.
• Morgan Lindsey Wallace
• Nancy V Wallace, NP
• Rachel Wallace, PHD
• Rashika Nelson Wallace, MSW
• Semaj Dallas Wallace
• Timothy J Wallace, MD
• Valzhane Wallace

• Licensed Practical Nurse in Richmond, VA
• Providers in Richmond, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.