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VANESSA CLOUTIER THIBODEAUX MD NPI 1245572031


NPI Information

NPI: 1245572031
Provider Name: VANESSA CLOUTIER THIBODEAUX, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC

PECOS Registration: Yes

Address:
320 RACETRACK RD NW STE 100A
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 315-8360
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Vanessa Cloutier Thibodeaux, MD is an obstetrics gynecology in Fort Walton Beach, FL with 11 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Vanessa Cloutier Thibodeaux, MD NPI is 1245572031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2013

The provider's business location address is:

320 RACETRACK RD NW STE 100A
FORT WALTON BEACH, FL
ZIP 32547-796
Phone: (850) 315-8360

The NPI 1245572031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 2/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsMD.305061LOUISIANANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207V00000XObstetrics & GynecologyME147842FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.