Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie B Wallace, ANP

Individual provider Nurse Practitioner · NPI 1659646768

Carrie B Wallace, ANP is a Nurse Practitioner in Maryville, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2011, 15 years ago. Practices with Endocrinology Consultants of East Tn, a 36-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
15
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2012
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Practice location Address checks out

414 Greenbelt Dr
Maryville, TN 37804-5702
Phone: (865) 637-8812
Fax: (865) 342-4678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 16556 (TN)

Record details

NPI number1659646768
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedMarch 22, 2012
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Endocrinology Consultants Of East Tn — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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