The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

9 active clinicians are listed under Contractor with a practice address in Canton, OH (714 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-03

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Respite Care

NUCC Taxonomy Code: 385H00000X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2026

Respite Care

📍

Updated Practice Location October 06, 2025

Registered at 2460 25TH ST NE, CANTON, OH 447052468 (Tel: 3308097073)

📍

Updated Business Mailing Address October 06, 2025

Registered at 2460 25TH ST NE, CANTON, OH 447052468 (Tel: 3308097073)

✅

NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 27, 2014

Registered at 1115 13TH ST SE, CANTON, OH 447073425 (Tel: 3308097073)

📍

Business Mailing Address (Initial Record) October 27, 2014

Registered at 1115 13TH ST SE, CANTON, OH 447073425 (Tel: 3308097073)

👤

Provider Name / Credentials (Initial Record) October 27, 2014

Recorded as DEBORAH WALLACE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Contractor

🟢

Initial NPI Registration & Enumeration October 27, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548665037

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2014

Last Update: February 03, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2460 25th St Ne

Canton, OH 447052468

Phone: 3308097073

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.