Active NPI
Beauty Wallace
- Registered Nurse
- Cedar Hill, TX
National Provider Identifier
1821598707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 668567
- Practice address
- 434 Euless Dr
Cedar Hill, TX 75104-3189 - Phone
- (214) 317-3906
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 668567 | TX | Primary |
Addresses
Primary practice location
434 Euless Dr
Cedar Hill, TX 75104-3189
Mailing address
434 Euless Dr
Cedar Hill, TX 75104-3189
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 668567 | Other | TX | TEXAS BOARD OF NURSING |
| 668567 | Other | TX | TEXAS BON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 668567 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1821598707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EULESS DR",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751043189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 EULESS DR",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751043189",
"telephone_number": "214-317-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "BEAUTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "668567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "668567",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BON",
"identifier": "668567",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.