Angel Sha'Miah Wallace, CPCT-A
NPI 1083463947ActiveIndividual· Technician, Other· Birmingham, AL
Technician, Other (CPCT-A) in Birmingham, Alabama, licensed in AL, with an NPI issued in May 2024.
Overview
| NPI | 1083463947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPCT-A |
| Sole proprietor | No |
| NPI issued | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certified by provider | May 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | PF4Q3Z3H9 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician, Other providers in Birmingham
- 1760366702
- 1760882070