RICHARD DAVID WALLIS PMHNP NPI 1336425982

NPI Information

  • NPI: 1336425982
  • Provider Name: RICHARD DAVID WALLIS, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 777 BANNOCK ST
    DENVER, CO
    ZIP 80204
  • Phone: (303) 436-6000

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NPI Details

Richard David Wallis, PMHNP is a psychiatric/mental health nurse practitioner in Denver, CO. Richard David Wallis, PMHNP NPI is 1336425982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 BANNOCK ST
DENVER, CO
ZIP 80204-597
Phone: (303) 436-6000

The NPI 1336425982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN.0992126-NPCOLORADOYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health1866TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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