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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ATHENA WALLIS
NPI 1528963261
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since October 12, 2026
2484 NATOMAS PARK DR STE 100, SACRAMENTO, CA 95833(916) 900-3130 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Athena Wallis NPPES

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

ATHENA WALLIS (NPI 1528963261) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1528963261
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameATHENA WALLIS
Location Address2484 NATOMAS PARK DR STE 100Sacramento, CA 95833-2928
Mailing Address2484 Natomas Park Dr Ste 100Sacramento, CA 95833-2928
Phone(916) 900-3130
Sole ProprietorYes
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1528963261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2484 NATOMAS PARK DR STE 100, Sacramento, CA 95833
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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 Athena Wallis's NPI number?

The NPI number for Athena Wallis is 1528963261. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Athena Wallis located?

Athena Wallis practices at 2484 Natomas Park Dr Ste 100, Sacramento, CA 95833. The listed phone number is (916) 900-3130.

What is Athena Wallis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Athena Wallis was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.