Cindy Nicole Wallace, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

705569 Issued in TX

Practice address

6800 West Loop S Ste 560
Bellaire, TX 77401-4516

Phone

(713) 839-7111

Fax

(713) 839-7156

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

No

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Harris County Hospital District

  • Family Medicine Physician
  • Houston, TX
  • NPI 1356428460
  Medicare reassignment NPD
• Harris County Hospital District

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1205900370
  NPD
• St Hope Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Sugar Land, TX
  • NPI 1992869846
  NPD
• St. Hope Foundation, Inc

  • Federally Qualified Health Center (FQHC)
  • Jersey Village, TX
  • NPI 1952078990
  NPD
• St. Hope Foundation, Inc.

  • Clinic/Center
  • Texas City, TX
  • NPI 1942542154
  NPD

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1902135544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP S STE 560",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014516",
            "telephone_number": "713-839-7111",
            "fax_number": "713-839-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP S STE 560",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014516",
            "telephone_number": "713-839-7111",
            "fax_number": "713-839-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CINDY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "705569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Wagner
• Mandy K Wakefield, OTR
• Jennifer Waldo, LPC INTERN
• Walgreen Co
• Emily Walker, OD
• Robert Randolph Wallis, M.D.
• Sherry Elizabeth Walsh, LPC
• Crystal Lynette Walter, LCSW
• Lauren Walther, LCSW, LCDC
• Otis Bennett Walton IV, MD

• Family Nurse Practitioner in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.