Individual Healthcare Provider
Bianca Nichole Wallace
Provider's NPPES record last updated: August 2, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063242337
- Primary Specialty
- Massage Therapist
- Practice Location
- Fayetteville, Arkansas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:25 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Taxonomy code 225700000X Doula
Nursing Service Related Providers
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
Taxonomy code 374J00000X
Provider-Reported License Information
- Massage Therapist (Arkansas)
- 9289
Practice Locations
Practice Location
31 E Center St Ste 205
Fayetteville, Arkansas 72701-5385
Phone: (479) 388-1513
Record Information
- Enumeration Date
- August 2, 2024
- Provider's NPPES Record Last Updated
- August 2, 2024
- Certification Date
- August 2, 2024
- NPISignal NPPES Dataset
- August 2026
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