GINGER NICHOLE THIBAULT NPI 1679964019

NPI Information

  • NPI: 1679964019
  • Provider Name: GINGER NICHOLE THIBAULT
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 9040 JACKSON AVE
    TACOMA, WA
    ZIP 98431
  • Phone: (253) 968-2464

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NPI Details

Ginger Nichole Thibault is a pediatrics nurse practitioner in Tacoma, WA. Ginger Nichole Thibault NPI is 1679964019. 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:

9040 JACKSON AVE
TACOMA, WA
ZIP 98431-426
Phone: (253) 968-2464
Fax: (253) 968-0384

The enumeration date for this NPI number is 2/6/2015 and was last updated on 8/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatricsR0077265OKLAHOMANo
2363LP0200XNurse PractitionerPediatricsAP61333001WASHINGTONNo
3363LP0200XNurse PractitionerPediatricsR0077265OKLAHOMAYes

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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