Frankie H Wallis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-103024 Issued in AL

Practice address

115 W Clay St
Sylacauga, AL 35150-3413

Phone

(256) 245-3267

Fax

(256) 245-2315

NPI assigned

Jan 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Howard Franklin Wallis Other name

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 and National Provider Directory roles.

• Sylacauga Pediatric Clinic, LLC

  • Pediatrics Physician
  • Sylacauga, AL
  • NPI 1184776551
  NPD (past)
• Sylacauga Pediatric Clinic, LLC

  • Rural Health Clinic/Center
  • Sylacauga, AL
  • NPI 1912948373
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1760848360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CLAY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351503413",
            "telephone_number": "256-245-3267",
            "fax_number": "256-245-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W CLAY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351503413",
            "telephone_number": "256-245-3267",
            "fax_number": "256-245-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "FRANKIE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-103024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOWARD",
            "last_name": "WALLIS",
            "middle_name": "FRANKLIN",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Johnny Mark Walker
• Rita D. Walker
• Ashley Lauren Watts, CRNP
• Maggie Whatley
• Jennie S Wheeler, M.D.
• Maegan Whitney Williams- Pope
• David K Williamson, MD

• Family Nurse Practitioner in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.