Staci Therrien, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-323323 Issued in NC

Practice address

522 Potts St
Davidson, NC 28036-8406

Phone

(704) 779-3173

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1033014436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7859 TRADEWINDS DR",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286739273",
            "telephone_number": "631-704-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 POTTS ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368406",
            "telephone_number": "704-779-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "STACI",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "L-323323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilima Pareshkumar Thakkar, MD
• The Charlotte-Mecklenburg Hospital Authority (Ardsley Internal Medicine-Renaissance Square)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Women's Care Northeast OB/GYN)
• The Namaste Network
• The Pines at Davidson, Inc.
• Thomas R Ferrell, DDS, PA
• Surinia Stocks Thurman, IBCLC, LMBT
• TMH Enterprises LLC
• Natalie Toney, NP
• Triple Play Farm, LLC

• Lactation Consultant (Non-RN) in Davidson, NC
• Providers in Davidson, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.