Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Dietter, PA-C, CAQ-PSYCH

Individual provider Physician Assistant · NPI 1386309342

Samantha Dietter, PA-C, CAQ-PSYCH is a Physician Assistant in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4011 Westchase Blvd Ste 225
Raleigh, NC 27607-3978
Phone: (919) 828-9937
Fax: (919) 828-4287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11703 (NC)

Record details

NPI number1386309342
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , CAQ-PSYCH
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

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