Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LILIANNA WALLACE MBA, LAT, ATC
NPI 1548012198
Specialist/Technologist - Athletic Trainer in Thibodaux, LA

Q: What is Lilianna Wallace's NPI number?

The NPI number for Lilianna Wallace is 1548012198. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Q: What is Lilianna Wallace's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Lilianna Wallace was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.

Active since April 04, 2024

906 E 1ST ST, THIBODAUX, LA 70301(985) 448-4805 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Apr 4, 2024 (2 updates tracked since 2024).

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About Lilianna Wallace Mba, Lat, Atc NPPES

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

LILIANNA WALLACE MBA, LAT, ATC (NPI 1548012198) is an individual athletic trainer provider in Thibodaux, Louisiana and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1548012198

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameLILIANNA WALLACECredential: MBA, LAT, ATC

Location Address906 E 1ST STThibodaux, LA 70301-6701

Mailing Address906 E 1st StThibodaux, LA 70301-6701

Phone(985) 448-4805

Sole ProprietorNo

Enumeration DateApril 4, 2024

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1548012198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

906 E 1ST ST, Thibodaux, LA 70301

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Other Providers at the Same Location NPPES 12

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

LUKE JOSEPH FALGOUT

Student in an Organized Health Care Education/Training Program

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (877) 642-4655

MAUREEN BROOKS ATC

Specialist/Technologist (Athletic Trainer)

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 448-4837

THE FOUNDATION FOR THE ADVANCEMENT OF A STRATEGIC SCIENCE OF TEACHING

Behavior Analyst

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 448-4321

RAEGAN WILLIS ATC

Specialist/Technologist (Athletic Trainer)

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 448-4507

MRS. REBECCA ANNE WOOD FNP

Nurse Practitioner (Family)

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 493-2600

JOSEPH FERKEL MS, ATC

Specialist/Technologist (Athletic Trainer)

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 448-4810

MR. TIMOTHY QUINTON NEASE II MS, LAT, ATC, CES

Specialist/Technologist (Athletic Trainer)

906 E 1ST ST, SPORTS MEDICINE-BASKETBALL
THIBODAUX, LA 70301

Lafourche Parish (912) 663-5841

AHNI MIRE SENECA MS, LAT, ATC, CSCS

Specialist/Technologist (Athletic Trainer)

906 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (877) 642-4655

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 Lilianna Wallace's NPI number?

The NPI number for Lilianna Wallace is 1548012198. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Lilianna Wallace located?

Lilianna Wallace practices at 906 E 1st St, Thibodaux, LA 70301. The listed phone number is (985) 448-4805.

What is Lilianna Wallace's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Lilianna Wallace was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.