Registry record
- NPI
- 1164122149
- Profession
- Nurse Practitioner (NP)
- Specialty
- Gerontology Nurse Practitioner (363LG0600X)
- Practice address
- 2421 Copper Sky Dr
Pearland, TX 77584 - Phone
- 4093500016
- In the registry since
- March 7, 2023
- Last NPPES update
- February 20, 2026
- Sole proprietor
- Yes
- License
- 1095104 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Carla Wallace is 1164122149. They are a Gerontology Nurse Practitioner in Pearland, Texas.
Carla Wallace is one of 8 Gerontology Nurse Practitioners in Pearland and one of 1,529 across Texas in our data.
The NPI has been in the federal registry for 3 years, since March 7, 2023.
Frequently asked questions
What is NPI 1164122149?
NPI 1164122149 is the 10-digit National Provider Identifier assigned to Carla Wallace, a Gerontology Nurse Practitioner practicing in Pearland, Texas. The record has been in the NPPES registry since March 7, 2023.
How do I verify this provider?
Cross-check NPI 1164122149 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license 1095104 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as February 20, 2026. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.