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Stacey Kathryn Prudich

Pediatric Nurse Practitioner in Wake Forest, NC · enumerated 2022.

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

National Provider Identifier

1831806017

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Registry record

Entity type Individual (Type 1)
Name Stacey Kathryn Prudich
Sex Female
Practice address 3000 Rogers Rd Ste 210, Wake Forest, NC, 27587
Phone (919) 385-2120
Enumeration date Oct 28, 2022
Last updated in NPPES Oct 29, 2022

Taxonomy & licenses

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License PRUD-6TDQL (NC) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5017148 (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

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.
What specialty is Stacey Prudich?
Stacey Prudich is registered in NPPES with the primary taxonomy of Pediatric Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-29.