Nicole Wallace, DC, AVCA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1611 Issued in NH

Practice address

2929 Main St Ste 2
Buffalo, NY 14214-1877

Phone

(716) 472-2370

NPI assigned

Feb 25, 2026

Sex

Female

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

Enrolled in NH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

The Lovelace Institute for Spine and Sports Injuries IncorporatedGroup PAC ID 5294043832, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Lovelace Institute for Spine and Sports Injuries, Incorporated

  • Sports Physician Chiropractor
  • Portsmouth, NH
  • NPI 1073869830
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1669326773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 MAIN ST STE 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141877",
            "telephone_number": "716-472-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Greenleaf Woods Dr Unit 203",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038015454",
            "country_code": "US",
            "telephone_number": "603-431-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "NICOLE",
        "credential": "DC, AVCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L Walker
• Dominique Marie Walkowiak, LMHC
• Desiree Walkowski, LMSW
• Catherine Kelly Wallace
• Jhamal Wallace, MD
• Pamela Yvette Wallace, LPN
• Amanda Shirley Waller, COTA/L
• Alexandrea Wallgren, CRC
• Susan Walls
• Christopher Patrick Walsh, LMSW

• Chiropractor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.