Tahira Wallace

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Practice address

14929 Notley Rd
Silver Spring, MD 20905-5821

Phone

(240) 444-9603

NPI assigned

Mar 12, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1205783941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14929 NOTLEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055821",
            "telephone_number": "240-444-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14929 NOTLEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055821",
            "telephone_number": "240-444-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "TAHIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Walker, NP
• Gracie Walker
• Jasmine Marie Walker, LMSW
• Lydia Walker, NP
• Ivan Walks, M.D.
• Margaret Wallang
• Jacqueline Wallen, M.S.W.
• Kathy J Wallens, LCPC
• Kayla Wallington
• Thomas Emmett Walsh, M.D.

• Student Health Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Student Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.