Nakkia Wallace, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

169565 Issued in IA

Practice address

601 Highway 6 W
Iowa City, IA 52246-2209

Phone

(319) 338-0581

NPI assigned

Apr 11, 2024

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1578317095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 N RIVER BLVD NE APT 8",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524117883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462209",
            "telephone_number": "319-338-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "NAKKIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IA",
            "license": "169565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wall, MD
• Susan Dale Wall, M.D.
• Alexander Andrew Wallace, MD
• Anne Marie Wallace, MA, CCC/SLP
• Jessica Lynne Wallace, NNP-BC
• Peter Dart Wallace, M.D.
• Robert B Wallace, MD
• Laneisha S Waller, PH.D.
• Mary Kathryn Walling, PHD
• Anthony Walls, RN

• Medical-Surgical Registered Nurse in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Medical-Surgical Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.