MICHELE RODRIGUE THIBODEAUX CNNP NPI 1265754618

NPI Information

NPI: 1265754618
Provider Name: MICHELE RODRIGUE THIBODEAUX, CNNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
500 RUE DE LA VIE
SUITE 405
BATON ROUGE, LA
ZIP 70817
Phone: (225) 928-2555
Get Directions

Michele Rodrigue Thibodeaux, CNNP is a neonatal nurse practitioner in Baton Rouge, LA. Michele Rodrigue Thibodeaux, CNNP NPI is 1265754618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 RUE DE LA VIE
SUITE 405
BATON ROUGE, LA
ZIP 70817-128
Phone: (225) 928-2555
Fax: (225) 929-9685

The NPI 1265754618 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 2/25/2010 and was last updated on 12/28/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	RN065691-AP02120	LOUISIANA	Yes
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	AP02120	LOUISIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2174703	MEDICAID	LOUISIANA

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

NPI Synchronization or Removal

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