Hailey Wallace

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

4007951 Issued in KY

Practice address

916 Kentucky Ave
Paducah, KY 42003-1977

Phone

(270) 444-9631

Fax

(270) 442-8769

NPI assigned

Jul 28, 2025

Last updated

Jul 28, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1669355566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031977",
            "telephone_number": "270-444-9631",
            "fax_number": "270-442-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031977",
            "telephone_number": "270-444-9631",
            "fax_number": "270-442-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "KY",
            "license": "4007951",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "KY",
            "license": "4007951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Walker, PT
• Ethan Pace Walker, MD
• Kelly Walker, MS., CCC-SLP, ATP
• Terika Walker
• Ashley Wallace
• Patty A Wallace
• Tyler J Wallace, PMHNP-BC
• Matthew C Wallis, D.C.
• Michelle Walls, RN
• Walsh Chiropractic, PLLC

• Community Health Nurse Practitioner in Paducah, KY
• Providers in Paducah, KY by specialty
• Community Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.