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

CASSIDY THIEDE
NPI 1619886009
Family Medicine in Madison, WI

Active since September 02, 2026
4602 EASTPARK BLVD, MADISON, WI 53718(608) 617-8730 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cassidy Thiede NPPES

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

CASSIDY THIEDE (NPI 1619886009) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (1819233) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1619886009
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCASSIDY THIEDE
Location Address4602 EASTPARK BLVDMadison, WI 53718-2002
Mailing AddressN2983 County Road FMontello, WI 53949-9013 · (608) 617-8730
Phone(608) 617-8730
Sole ProprietorNo
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1619886009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 1819233
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4602 EASTPARK BLVD, Madison, WI 53718
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Other Providers at the Same Location NPPES 20

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

ELISE KREGER
Physician Assistant
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 263-7540
ERIKA A FEHRENBACH PRELL NP
Nurse Practitioner
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 262-5212
SCOTT LIEGEL
Physician Assistant
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 263-7540
MS. SAMANTHA SUSAN REBHOLZ-HERTZ PT, DPT
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 592-8100
KYLE MICHAEL BERG DPT, PT
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 440-6400
COLTEN HAACK DPT
Physical Therapist (Sports)
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 440-6400
BETTY ALLEN MD
Surgery
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 242-2888
KYLIE NICOLE FULTON PT, DPT
Physical Therapist
4602 EASTPARK BLVD
MADISON, WI 53718
Dane County (608) 440-6400

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 Cassidy Thiede's NPI number?

The NPI number for Cassidy Thiede is 1619886009. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Cassidy Thiede located?

Cassidy Thiede practices at 4602 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 617-8730.

What is Cassidy Thiede's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cassidy Thiede was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.