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Dr. Ryan Myles Wallace

Psychiatry Physician in Anchorage, AK · enumerated 2013 · practices at Providence Health & Services Washington.

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

National Provider Identifier

1548695075

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Registry record

Entity type Individual (Type 1)
Name Dr. Ryan Myles Wallace
Sex Male
Practice address 3760 Piper St Ste 1108, Anchorage, AK, 99508
Fax (907) 212-6936
Enumeration date Sep 3, 2013
Last updated in NPPES Dec 3, 2025

Taxonomy & licenses

2083A0300X Addiction Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians · License 158491 (AK) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 158491 (AK) Primary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 55490 (CT) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 55490 (CT) Secondary

Other identifiers

Identifier Type State Issuer
1709157 Medicaid AK -
008056168 Medicaid CT -
500000315 Medicaid CT -
008076123 Medicaid CT -
004082286 Medicaid CT -
008022626 Medicaid CT -

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.

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Frequently asked questions

Where does Ryan Wallace practice?
The practice location on file with NPPES is in Anchorage, AK. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ryan Wallace?
The National Provider Identifier (NPI) for Ryan Wallace is 1548695075, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-03.