Nicholas Wallace

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1773 Wili PA Loop Ste a
Wailuku, HI 96793-1286

Phone

(808) 856-9821

NPI assigned

Aug 15, 2026

Sex

Male

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.

• Maui Speech and Swallow and Neurological Rehabilitation LLC

  • Speech-Language Pathologist
  • Makawao, HI
  • NPI 1982346219
  NPD (past)

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1508771585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 WILI PA LOOP STE A",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 WILI PA LOOP STE A",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931286",
            "telephone_number": "808-856-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Christina Dona Walker, LMT
• Gwynna Lake Walker
• Shane D. Walker, PA
• Aaron Schuyler Wallace
• Cordia Wan, MD
• Sarah Ahmad Waseeq
• Linda B. Wasson, QCSW(LCSW)
• Anita P Waterford, D.O.
• Sara Watkins, LCSW, CSAC

• Speech-Language Pathologist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.