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

Matthew Isiah Wallace

Individual provider Home Health Registered Nurse · NPI 1265390389

Matthew Isiah Wallace is a Home Health Registered Nurse in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

4778 S Capitol Ter SW Unit A
Washington, DC 20032-2739
Phone: (202) 422-6987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence NA (DC)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1265390389
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

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