CHANTEL BRIANA WALLACE LPN
NPI 1750255394
Licensed Practical Nurse in Bay Shore, NY

Q: What is Chantel Wallace's NPI number?

The NPI number for Chantel Wallace is 1750255394. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Q: What is Chantel Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Chantel Wallace was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 October 04, 2025

1339 WASHINGTON AVE, BAY SHORE, NY 11706(631) 356-8488 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Chantel Briana Wallace Lpn NPPES

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

CHANTEL BRIANA WALLACE LPN (NPI 1750255394) is an individual licensed practical nurse in Bay Shore, New York, licensed in New York (354567) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1750255394

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCHANTEL BRIANA WALLACECredential: LPN

Location Address1339 WASHINGTON AVEBay Shore, NY 11706-5742

Mailing Address1339 Washington AveBay Shore, NY 11706-5742

Phone(631) 356-8488

Sole ProprietorNo

Enumeration DateOctober 4, 2025

NPPES CertifiedOctober 4, 2025

✔ NPI 1750255394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 354567

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1339 WASHINGTON AVE, Bay Shore, NY 11706

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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 Chantel Wallace's NPI number?

The NPI number for Chantel Wallace is 1750255394. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Where is Chantel Wallace located?

Chantel Wallace practices at 1339 Washington Ave, Bay Shore, NY 11706. The listed phone number is (631) 356-8488.

What is Chantel Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Chantel Wallace was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.