REBECCA WALLACE
NPI 1285980250
Licensed Practical Nurse in Chestnut Ridge, NY

Active since July 27, 2012
12 DEMAREST RD, CHESTNUT RIDGE, NY 10977(845) 323-5257 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rebecca Wallace NPPES

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

REBECCA WALLACE (NPI 1285980250) is an individual licensed practical nurse in Chestnut Ridge, New York, licensed in New York (310362) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1285980250
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameREBECCA WALLACE
Location Address12 DEMAREST RDChestnut Ridge, NY 10977-6517
Mailing Address12 Demarest RdChestnut Ridge, NY 10977-6517
Sole ProprietorNo
Enumeration DateJuly 27, 2012
NPI 1285980250 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 · 310362
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.

12 DEMAREST RD, Chestnut Ridge, NY 10977

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 1285980250. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Rebecca Wallace located?

Rebecca Wallace practices at 12 Demarest Rd, Chestnut Ridge, NY 10977. The listed phone number is (845) 323-5257.

What is Rebecca 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 Rebecca Wallace was last updated on July 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.