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REBECCA WALLACE APRN
NPI 1104810134
Nurse Practitioner - Family in Salt Lake City, UT

Active since September 06, 2005
3838 S 700 E, SUITE 200, SALT LAKE CITY, UT 84106(801) 261-4988(801) 269-9427 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Wallace Aprn NPPES

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

REBECCA WALLACE APRN (NPI 1104810134) is an individual family provider in Salt Lake City, Utah, licensed in Utah (216162-4405) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1104810134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA WALLACECredential: APRN
Location Address3838 S 700 E, SUITE 200Salt Lake City, UT 84106-1466
Mailing Address1837 Hollywood AveSalt Lake City, UT 84108-3103 · (801) 487-4160
Phone(801) 261-4988
Fax(801) 269-9427
Sole ProprietorNo
Enumeration DateSeptember 6, 2005
Last NPPES UpdateNovember 24, 2008
✔ NPI 1104810134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 216162-4405
3838 S 700 E, Salt Lake City, UT 84106
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP17963UT
MedicaidD1948UT
Medicare ID-Type Unspecified005582313UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VILIJA N AVIZONIS M.D.
Radiology (Radiation Oncology)
3838 S 700 E, SUITE 100
SALT LAKE CITY, UT 84106
Salt Lake County (801) 281-6860
WILLIAM R SMITH CRNA
Nurse Anesthetist, Certified Registered
3838 S 700 E, SUITE 200
SALT LAKE CITY, UT 84106
Salt Lake County (801) 261-4988
STEPHAN D KENDALL M.D.
Internal Medicine (Medical Oncology)
3838 S 700 E, STE 100
SALT LAKE CITY, UT 84106
Salt Lake County (801) 269-0231
JULIE ANN ROBERTS-MORRIS MD
Anesthesiology
3838 S 700 E, SUITE 200
SALT LAKE CITY, UT 84106
Salt Lake County (801) 261-4988
ROGER SAUSEDO CRNA
Nurse Anesthetist, Certified Registered
3838 S 700 E, SUITE 200
SALT LAKE CITY, UT 84106
Salt Lake County (801) 261-4988
DR. RICHARD N FRAME MD
Internal Medicine (Medical Oncology)
3838 S 700 E, SUITE 100
SALT LAKE CITY, UT 84106
Salt Lake County (801) 269-0231
MRS. JUDY BENDOSKI-PARRISH A.P.R.N.
Nurse Practitioner (Family)
3838 S 700 E, SUITE 300 A
SALT LAKE CITY, UT 84106
Salt Lake County (801) 590-3400
ANTHONY DIAZ
Anesthesiology
3838 S 700 E, STE 200
SALT LAKE CITY, UT 84106
Salt Lake County (801) 261-4988

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 Rebecca Wallace's NPI number?

The NPI number for Rebecca Wallace is 1104810134. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Rebecca Wallace located?

Rebecca Wallace practices at 3838 S 700 E Suite 200, Salt Lake City, UT 84106. The listed phone number is (801) 261-4988.

What is Rebecca Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rebecca Wallace was last updated on November 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.