Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Stacy Cristman Thiedeman, PA-C

Physician Assistant in Raleigh, NC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154335800

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Registry record

Entity type Individual (Type 1)

Name Mrs. Stacy Cristman Thiedeman

Credential PA-C

Sex Female

Practice address 23 Sunnybrook Rd, Suite Number 113, Raleigh, NC, 27610

Phone (919) 250-0580

Fax (919) 250-9939

Enumeration date Jul 28, 2006

Last updated in NPPES Apr 13, 2021

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 102584 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Stacy Thiedeman?

Stacy Thiedeman is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-13.