1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ALENA NICOLE SIDWELL MD
NPI 1124722350
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since March 30, 2023PECOS Enrolled
1350 S KINGS DR FL 3, CHARLOTTE, NC 28207(704) 446-1242(704) 446-1241 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2023, Mar 30, 2023 (2 updates tracked since 2023).

About Alena Nicole Sidwell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALENA NICOLE SIDWELL MD (NPI 1124722350) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124722350
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALENA NICOLE SIDWELLCredential: MD
Location Address1350 S KINGS DR FL 3Charlotte, NC 28207-2134
Mailing Address9904 Bradley Russell CtCharlotte, NC 28214-7659 · (630) 995-0928
Phone(704) 446-1242
Fax(704) 446-1241
Sole ProprietorNo
Enumeration DateMarch 30, 2023
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1124722350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1350 S KINGS DR FL 3, Charlotte, NC 28207
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alena Nicole Sidwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM DAVID LAIDIG
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
MARYAM ZOABI DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
ELAINE PATEL MD
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
DONALD ELLIS DEEP DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
PRIYANKA MOHANTY DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
VICTORIA MAE KONIUK DO
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
SARINA SHRESTHA MD
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242
CAROLINE HORNE
Student in an Organized Health Care Education/Training Program
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alena Sidwell's NPI number?

The NPI number for Alena Sidwell is 1124722350. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Alena Sidwell located?

Alena Sidwell practices at 1350 S Kings Dr Fl 3, Charlotte, NC 28207. The listed phone number is (704) 446-1242.

What is Alena Sidwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alena Sidwell enrolled in Medicare?

Yes. Alena Sidwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alena Sidwell was last updated on June 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.