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NICHOLAS JOHN THIBAULT PA-C
NPI 1043612070
Physician Assistant - Medical in Sneads Ferry, NC

Active since September 22, 2014
141 REGATTA WAY, SNEADS FERRY, NC 28460(219) 689-8493 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Jan 25, 2021 (2 updates tracked since 2021).

About Nicholas John Thibault Pa-c NPPES

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

NICHOLAS JOHN THIBAULT PA-C (NPI 1043612070) is an individual medical provider in Sneads Ferry, North Carolina and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1043612070
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLAS JOHN THIBAULTCredential: PA-C
Location Address141 REGATTA WAYSneads Ferry, NC 28460-6100
Mailing Address1900 Gator Blvd, Building 3808Virginia Beach, VA 23459-8950 · (757) 763-3619
Phone(219) 689-8493
Sole ProprietorNo
Enumeration DateSeptember 22, 2014
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1043612070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
141 REGATTA WAY, Sneads Ferry, NC 28460
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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 Nicholas Thibault's NPI number?

The NPI number for Nicholas Thibault is 1043612070. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Nicholas Thibault located?

Nicholas Thibault practices at 141 Regatta Way, Sneads Ferry, NC 28460. The listed phone number is (219) 689-8493.

What is Nicholas Thibault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicholas Thibault was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.