Nikole D Wallace

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

38086 Issued in WV

Practice address

243 American Way
Weirton, WV 26062-4081

Phone

(304) 217-3015

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1952234544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 AMERICAN WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 AMERICAN WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624081",
            "telephone_number": "304-217-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "NIKOLE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "38086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #19676)
• Walgreen Co. (Walgreens #19676)
• Emily Walker, MS.ED.
• Kyah Walker
• Erin Marie Wallace, PA-C
• Robert E Wallace
• Jaclyn Marie Walters
• Liz L. Watkins, LPC
• Mark Steven Watson
• Weirton Area Ambulance & Rescue Squad Inc

• Licensed Practical Nurse in Weirton, WV
• Providers in Weirton, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.