Shannon E Wallace

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

7490 Brompton St Apt 371
Houston, TX 77025-2281

Phone

(727) 810-5166

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1649053489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 BROMPTON ST APT 371",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252281",
            "telephone_number": "727-810-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 BROMPTON ST APT 371",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252281",
            "telephone_number": "727-810-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SHANNON",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyesha Wallace
• Pamela Lindsey Wallace, PT, DPT
• Phyllis Marie Wallace, CRNA
• Rebecca Ann Wallace, MSW
• Rebekah Wallace, LCSW
• Sharon Renee Wallace, MD
• Shawnee Wallace, DO
• Shernique Wallace, DDS
• Sowdhamini Shettigar Wallace, D.O.
• Stephanie Wallace, MS, CGC

• Doula in Houston, TX
• Providers in Houston, TX by specialty
• Doula in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.