Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

WANDA WALLACE
NPI 1366363863
Technician - Personal Care Attendant in Charleston, WV

Active since July 22, 2026
1599 2ND AVE, CHARLESTON, WV 25387(304) 344-0586 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanda Wallace NPPES

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

WANDA WALLACE (NPI 1366363863) is an individual personal care attendant in Charleston, West Virginia and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1366363863
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameWANDA WALLACE
Location Address1599 2ND AVECharleston, WV 25387-2514
Mailing AddressPo Box 20112Charleston, WV 25362-1112
Sole ProprietorNo
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
NPI 1366363863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

1599 2ND AVE, Charleston, WV 25387

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.

Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387
Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387
Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387
Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387
Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387
Licensed Practical Nurse
1599 2ND AVE
CHARLESTON, WV 25387
Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387
Technician (Personal Care Attendant)
1599 2ND AVE
CHARLESTON, WV 25387

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 Wanda Wallace's NPI number?

The NPI number for Wanda Wallace is 1366363863. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Wanda Wallace located?

Wanda Wallace practices at 1599 2nd Ave, Charleston, WV 25387. The listed phone number is (304) 344-0586.

What is Wanda Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Wanda Wallace was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.