Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Amy M Wallace, APRN, NNP-BC

Neonatal Nurse Practitioner in Lexington, KY · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104178052

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Registry record

Entity type Individual (Type 1)

Name Mrs. Amy M Wallace

Credential APRN, NNP-BC

Sex Female

Practice address 800 Rose St Fl 4, Lexington, KY, 40536

Phone (859) 218-2581

Fax (859) 257-1632

Enumeration date Oct 2, 2012

Last updated in NPPES Jun 6, 2024

Taxonomy & licenses

363LN0005X Critical Care Neonatal Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 3007721 (KY) Secondary

363LN0000X Neonatal Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 3007721 (KY) Primary

APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Amy Wallace's NPI record?

Cross-check NPI 1104178052 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104178052 active?

Yes, as of the latest NPPES snapshot, NPI 1104178052 is active (record last updated 2024-06-06).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-06.