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DR. COURTNEY NICOLE WALLACE AUD, CCC-A, F/AAA
NPI 1508396789
Audiologist in Minneapolis, MN

Active since June 19, 2017
2530 CHICAGO AVE STE 450, MINNEAPOLIS, MN 55404(612) 813-7610 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017, Jun 19, 2017 (3 updates tracked since 2017).

About Dr. Courtney Nicole Wallace Aud, Ccc-a, F/aaa NPPES

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

DR. COURTNEY NICOLE WALLACE AUD, CCC-A, F/AAA (NPI 1508396789) is an individual audiologist in Minneapolis, Minnesota and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1508396789
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. COURTNEY NICOLE WALLACECredential: AUD, CCC-A, F/AAA
Location Address2530 CHICAGO AVE STE 450Minneapolis, MN 55404-4127
Mailing Address202 7th St W Apt 515Saint Paul, MN 55102-3094 · (630) 303-3209
Phone(612) 813-7610
Sole ProprietorNo
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1508396789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
2530 CHICAGO AVE STE 450, Minneapolis, MN 55404
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Other Providers at the Same Location NPPES 3

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

SIVAKUMAR CHINNADURAI MD, MPH
Otolaryngology (Pediatric Otolaryngology)
2530 CHICAGO AVE STE 450
MINNEAPOLIS, MN 55404
Hennepin County (615) 813-6000
KELSIE MARTIN AUD
Audiologist
2530 CHICAGO AVE STE 450
MINNEAPOLIS, MN 55404
Hennepin County (126) 874-1292
MIRABELLA LUCIA WILSON AUD
Audiologist
2530 CHICAGO AVE STE 450
MINNEAPOLIS, MN 55404
Hennepin County (612) 874-1292

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 Courtney Wallace's NPI number?

The NPI number for Courtney Wallace is 1508396789. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Courtney Wallace located?

Courtney Wallace practices at 2530 Chicago Ave Ste 450, Minneapolis, MN 55404. The listed phone number is (612) 813-7610.

What is Courtney Wallace's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Courtney Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.