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CHANTAY WALLACE
NPI 1285104760
Licensed Practical Nurse in New York, NY

Active since November 28, 2018
142 W 143RD ST APT 3A, NEW YORK, NY 10030(917) 916-2216 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chantay Wallace NPPES

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

CHANTAY WALLACE (NPI 1285104760) is an individual licensed practical nurse in New York, New York, licensed in New York (766721987) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1285104760
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHANTAY WALLACE
Location Address142 W 143RD ST APT 3ANew York, NY 10030-1665
Mailing Address142 W 143rd St Apt 3aNew York, NY 10030-1665 · (917) 916-2216
Phone(917) 916-2216
Sole ProprietorYes
Enumeration DateNovember 28, 2018
✔ NPI 1285104760 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 NY · 766721987
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.
142 W 143RD ST APT 3A, New York, NY 10030
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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 Chantay Wallace's NPI number?

The NPI number for Chantay Wallace is 1285104760. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Chantay Wallace located?

Chantay Wallace practices at 142 W 143rd St Apt 3A, New York, NY 10030. The listed phone number is (917) 916-2216.

What is Chantay 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 Chantay Wallace was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.