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SIDIQAT WALLACE
NPI 1629843552
Technician, Other in Charlotte, NC

Active since November 21, 2023
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202(855) 832-6727 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sidiqat Wallace NPPES

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

SIDIQAT WALLACE (NPI 1629843552) is an individual technician, other provider in Charlotte, North Carolina and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1629843552
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameSIDIQAT WALLACE
Location Address525 N TRYON ST STE 1600Charlotte, NC 28202-0213
Mailing Address525 N Tryon St Ste 1600Charlotte, NC 28202-0213 · (855) 832-6727
Phone(855) 832-6727
Sole ProprietorNo
Enumeration DateNovember 21, 2023
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1629843552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
525 N TRYON ST STE 1600, Charlotte, NC 28202
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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.

MS. MORGAN ASHLEY POTTER
Behavior Technician
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (855) 832-6727
DELANEY LEE BRUMMER PA
Physician Assistant
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (866) 849-0692
JOSHUA DANIELLE HARRIS
Technician, Pathology (Phlebotomy)
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (704) 226-3086
ELYSIA ROLAND
Technician, Other
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (855) 832-6727
LILY GRACE BOONE
Behavior Technician
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (855) 832-6727
DONICA TRUESDALE
Behavior Technician
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (855) 832-6727
ASHLEY NEAGLE MA, BCBA
Behavior Analyst
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (855) 832-6727
VERNON CHRISTIAN PARIS TINDAL
Technician, Other
525 N TRYON ST STE 1600
CHARLOTTE, NC 28202
Mecklenburg County (855) 832-6727

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 Sidiqat Wallace's NPI number?

The NPI number for Sidiqat Wallace is 1629843552. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Sidiqat Wallace located?

Sidiqat Wallace practices at 525 N Tryon St Ste 1600, Charlotte, NC 28202. The listed phone number is (855) 832-6727.

What is Sidiqat Wallace's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Sidiqat Wallace was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.