CHRISTOPHER LUCCIANO WALLACE-CARRETE
NPI 1861198640
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT
About Christopher Lucciano Wallace-carrete NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTOPHER LUCCIANO WALLACE-CARRETE (NPI 1861198640) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christopher Lucciano Wallace-carrete is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84112
SLC, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 Christopher Wallace-carrete's NPI number?
The NPI number for Christopher Wallace-carrete is 1861198640. It was assigned to this individual provider in the NPPES registry on February 3, 2023.
Where is Christopher Wallace-carrete located?
Christopher Wallace-carrete practices at 27 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-6211.
What is Christopher Wallace-carrete's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Christopher Wallace-carrete enrolled in Medicare?
Yes. Christopher Wallace-carrete is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Christopher Wallace-carrete was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Christopher Lucciano Wallace-Carrete · NPI 1861198640
Student in an Organized Health Care Education/Training Program provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since February 3, 2023.
## Identity
- **NPI:** 1861198640 (Entity type: Individual)
- **Enumerated:** February 3, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112-5888
- **Phone:** (801) 581-6211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861198640) · Data from the CMS NPPES public registry.