1. Home
  2. Directory
  3. Texas
  4. Grand Prairie
  5. Case Manager Care Coordinator
  6. NPI Profile

DEMETRIA WALLACE RN
NPI 1710344635
Case Manager/Care Coordinator in Grand Prairie, TX

Active since January 22, 2016
2635 VILLA DI LAGO UNIT 4, GRAND PRAIRIE, TX 75054(866) 386-8404 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetria Wallace Rn NPPES

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

DEMETRIA WALLACE RN (NPI 1710344635) is an individual case manager/care coordinator provider in Grand Prairie, Texas and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1710344635
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDEMETRIA WALLACECredential: RN
Location Address2635 VILLA DI LAGO UNIT 4Grand Prairie, TX 75054-6630
Mailing Address2635 Villa Di Lago Unit 4Grand Prairie, TX 75054-6630 · (866) 386-8404
Phone(866) 386-8404
Sole ProprietorYes
Enumeration DateJanuary 22, 2016
✔ NPI 1710344635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2635 VILLA DI LAGO UNIT 4, Grand Prairie, TX 75054
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

LAKERIDGE CARE MANAGEMENT
Case Management
2635 VILLA DI LAGO UNIT 4
GRAND PRAIRIE, TX 75054
Tarrant County (186) 638-6840

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 Demetria Wallace's NPI number?

The NPI number for Demetria Wallace is 1710344635. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Where is Demetria Wallace located?

Demetria Wallace practices at 2635 Villa Di Lago Unit 4, Grand Prairie, TX 75054. The listed phone number is (866) 386-8404.

What is Demetria Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Demetria Wallace was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.