Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THIDA SAN FNP-C
NPI 1124944459
Nurse Practitioner - Family in Oneonta, NY

Q: What is Thida San's NPI number?

The NPI number for Thida San is 1124944459. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Q: What is Thida San's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Thida San was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since June 29, 2026

739 STATE HIGHWAY 28 STE 9, ONEONTA, NY 13820(607) 431-1015 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Thida San Fnp-c NPPES

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

THIDA SAN FNP-C (NPI 1124944459) is an individual family provider in Oneonta, New York, licensed in New York (360069) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1124944459

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHIDA SANCredential: FNP-C

Location Address739 STATE HIGHWAY 28 STE 9Oneonta, NY 13820-3590

Mailing Address1 Atwell RdCooperstown, NY 13326-1394

Phone(607) 431-1015

Sole ProprietorNo

Enumeration DateJune 29, 2026

Last NPPES UpdateSeptember 7, 2026

NPPES CertifiedSeptember 7, 2026

✔ NPI 1124944459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 360069

739 STATE HIGHWAY 28 STE 9, Oneonta, NY 13820

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARMAINE CLARKE-DAVIS FNP-BC

Nurse Practitioner (Family)

739 STATE HIGHWAY 28 STE 9
ONEONTA, NY 13820

Otsego County (607) 431-1015

MS. SHIRA SMALL-CANGIALOSI PA-C

Physician Assistant (Medical)

739 STATE HIGHWAY 28 STE 9
ONEONTA, NY 13820

Otsego County (607) 431-1015

EMILY SUSAN ELLIOTT

Nurse Practitioner (Family)

739 STATE HIGHWAY 28 STE 9
ONEONTA, NY 13820

Otsego County (607) 431-1015

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 Thida San's NPI number?

The NPI number for Thida San is 1124944459. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Thida San located?

Thida San practices at 739 State Highway 28 Ste 9, Oneonta, NY 13820. The listed phone number is (607) 431-1015.

What is Thida San's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Thida San was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.