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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Richard Anthony Wallace, CRNA

Certified Registered Nurse Anesthetist in Harriman, TN · enumerated 2006.

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

National Provider Identifier

1629031992

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Registry record

Entity type Individual (Type 1)
Name Richard Anthony Wallace
Credential CRNA
Sex Male
Practice address Harriman, TN, 37748
Enumeration date Apr 8, 2006
Last updated in NPPES Sep 25, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 9332 (TN) Primary
CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier Type State Issuer
0454102553 Other TN TRICARE SOUTH HUMANA MILITARY
4317478 Other TN BCBS - COVER TENNESSEE
4317478 Other TN BCBS - MEDICARE ADVANTAGE (BLUEADVANTAGE)
616644300 Other TN DEPT OF LABOR WORKER'S COMP - DEEOIC PROGRAM
171975592453 Other TN HUMANA
4317478 Other TN BCBS - BLUE SELECT
3037582 Other TN CIGNA
4317478 Other TN BCBS - TENNCARE SELECT
4317478 Other TN BCBS - BLUE PREFERRED
1527480 Other TN TENNCARE, EFFECTIVE 4/5/12
1527480 Medicaid TN -
4317478 Other TN BCBS - BLUECARE
454102553 Other TN HUMANA GOLD
616644300 Other TN DEPT OF LABOR WOKER'S COMP - FECA PROGRAM

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

What specialty is Richard Wallace?
Richard Wallace is registered in NPPES with the primary taxonomy of Certified Registered Nurse Anesthetist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-25.