Savannah Wallace

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2332 Issued in AL

Practice address

1930 Edwards Lake Rd Ste 114
Birmingham, AL 35235-3719

Phone

(205) 267-6110

NPI assigned

Feb 23, 2022

Last updated

Jul 7, 2022By 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

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Menm, LLC

  dba Miracle Ear Center

  • Hearing Instrument Specialist
  • Andalusia, AL
  • NPI 1235706854
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1548916125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WOODHEW DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 EDWARDS LAKE RD STE 114",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353719",
            "telephone_number": "205-267-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AL",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "swallace@miracleearhearing.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "1930 Edwards Lake Rd Ste 114",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352353719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swallace@miracleearhearing.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1930 Edwards Lake Rd Ste 114",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352353719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swallace@miracleearhearing.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "MENM, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1930 Edwards Lake Rd Ste 114",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352353719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maya Wallace
• Melanie Drake Wallace, PH.D., LPC-S, ACS,
• Michael Wallace, DO
• Mykerra L Wallace
• Samantha Grace Wallace
• Stephenie B Wallace, M.D.
• Suzanne Watson Wallace, MD
• Terrance Terrell Wallace, D.P.T
• Tina Wallace
• Taylor Elaine Wallen, MD

• Hearing Instrument Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Hearing Instrument Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.