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

ANGELA NICOLE THACKER
NPI 1588574917
Contractor in Winston Salem, NC

Active since September 09, 2026
4045 UNIVERSITY PKWY STE 253, WINSTON SALEM, NC 27106(336) 391-2405 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Angela Nicole Thacker NPPES

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

ANGELA NICOLE THACKER (NPI 1588574917) is an individual contractor provider in Winston Salem, North Carolina, licensed in North Carolina (34D2328475) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1588574917
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameANGELA NICOLE THACKER
Location Address4045 UNIVERSITY PKWY STE 253Winston Salem, NC 27106-3756
Mailing Address4045 University Pkwy Ste 253Winston Salem, NC 27106-3756 · (336) 391-2405
Sole ProprietorYes
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
NPI 1588574917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in NC · 34D2328475
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X
4045 UNIVERSITY PKWY STE 253, Winston Salem, NC 27106

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 Angela Thacker's NPI number?

The NPI number for Angela Thacker is 1588574917. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Angela Thacker located?

Angela Thacker practices at 4045 University Pkwy Ste 253, Winston Salem, NC 27106. The listed phone number is (336) 391-2405.

What is Angela Thacker's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Angela Thacker was last updated on September 9, 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.