DERRICK THIBODEAUX N.P. NPI 1659762839

NPI Information

  • NPI: 1659762839
  • Provider Name: DERRICK THIBODEAUX, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1303 HORRIDGE ST
    VINTON, LA
    ZIP 70668
  • Phone: (337) 324-8060

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NPI Details

Derrick Thibodeaux, N.P. is a family nurse practitioner in Vinton, LA with 11 years of experience. Derrick Thibodeaux, N.P. NPI is 1659762839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1303 HORRIDGE ST
VINTON, LA
ZIP 70668-531
Phone: (337) 324-8060
Fax: (337) 324-8061

The NPI 1659762839 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (HCPCS:99491)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Detection test by immunoassay with direct visual observation for respiratory syncytial virus (HCPCS:87807)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 2/10/2015 and was last updated on 3/23/2020.

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
1363LF0000XNurse PractitionerFamilyAP08118LOUISIANAYes

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
1AP08118OTHERLOUISIANALOUISIANA STATE BOARD OF NURSING

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: 11/21/2025

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