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KANDICE WALLIS
NPI 1023412012
Case Manager/Care Coordinator in Ada, OK

Active since October 20, 2014
314 S. BROADWAY ST., STE. 106, ADA, OK 74820(888) 272-0210(580) 235-0211 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kandice Wallis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANDICE WALLIS (NPI 1023412012) is an individual case manager/care coordinator provider in Ada, Oklahoma and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1023412012
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKANDICE WALLIS
Location Address314 S. BROADWAY ST., STE. 106Ada, OK 74820
Mailing AddressPo Box 662Purcell, OK 73080-0662 · (405) 527-1785 · Fax (405) 527-1084
Phone(888) 272-0210
Fax(580) 235-0211
Sole ProprietorNo
Enumeration DateOctober 20, 2014
✔ NPI 1023412012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
314 S. BROADWAY ST., Ada, OK 74820
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandice Wallis's NPI number?

The NPI number for Kandice Wallis is 1023412012. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Kandice Wallis located?

Kandice Wallis practices at 314 S. Broadway St. Ste. 106, Ada, OK 74820. The listed phone number is (888) 272-0210.

What is Kandice Wallis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kandice Wallis was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.