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SHARANDELL RENA WALLACE
NPI 1235087008
Licensed Practical Nurse in Blue Springs, MO

Active since March 18, 2026
605 SW US HIGHWAY 40 # 146, BLUE SPRINGS, MO 64014(816) 479-1426 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sharandell Rena Wallace NPPES

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

SHARANDELL RENA WALLACE (NPI 1235087008) is an individual licensed practical nurse in Blue Springs, Missouri, licensed in Missouri (2015022803) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1235087008
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHARANDELL RENA WALLACE
Location Address605 SW US HIGHWAY 40 # 146Blue Springs, MO 64014-3232
Mailing Address605 Sw Us Highway 40 # 146Blue Springs, MO 64014-3232 · (816) 479-1426
Phone(816) 479-1426
Sole ProprietorYes
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1235087008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MO · 2015022803
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
605 SW US HIGHWAY 40 # 146, Blue Springs, MO 64014
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sharandell Wallace's NPI number?

The NPI number for Sharandell Wallace is 1235087008. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Sharandell Wallace located?

Sharandell Wallace practices at 605 SW Us Highway 40 # 146, Blue Springs, MO 64014. The listed phone number is (816) 479-1426.

What is Sharandell Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sharandell Wallace was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.