MICHELE RODRIGUE THIBODEAUX (NPI# 1265754618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265754618 |
| Entity Type | Individual |
| Full Name | MICHELE RODRIGUE THIBODEAUX |
| Credential | CNNP |
| Practice Address |
500 Rue De La Vie Suite 405 Baton Rouge LA 70817-5128 |
| Mailing Address |
3993 Highway 1 Napoleonville LA 70390-8728 |
| Practice Telephone | 2259282555 |
| Practice Fax Number | 2259299685 |
| Mailing Telephone | 9853699784 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN065691-AP02120 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP02120 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2174703 | 05 |
| Street Address |
500 RUE DE LA VIE SUITE 405 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168646 | Steven Brian Spedale | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2005-07-20 |
| 1770111510 | Andrea Victoria Dousdebes Soria | Student in an Organized Health Care Education/Training Program | 500 Rue De La Vie, Suite 404, Baton Rouge, LA 70817 | 2020-03-28 |
| 1619325222 | Kathrine Rester Mcgehee | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2016-05-25 |
| 1225484298 | Baton Rouge Neonatal Associates, Inc. | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2016-05-10 |
| 1780944454 | Amber B Verdun | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2012-05-29 |
| 1619255171 | Donna G Hebert | Nurse Practitioner | 500 Rue De La Vie, Suite 413, Baton Rouge, LA 70817-5128 | 2011-08-01 |
| 1487953287 | Michelle Charbonnet Steinhardt | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2011-03-18 |
| 1003059569 | Sarah Buzhardt | Obstetrics & Gynecology | 500 Rue De La Vie, Suite 414, Baton Rouge, LA 70817-5100 | 2009-04-14 |
| 1053557785 | Kristin Bassett Chapman | Obstetrics & Gynecology | 500 Rue De La Vie, Suite 210, Baton Rouge, LA 70817-5128 | 2008-12-30 |
| 1629239983 | Tammy Marie Dupuy | Obstetrics & Gynecology | 500 Rue De La Vie, Suite 311, Baton Rouge, LA 70817 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619325222 | Kathrine Rester Mcgehee | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2016-05-25 |
| 1891156873 | Karen Nunnery | Nurse Practitioner | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2016-03-17 |
| 1780944454 | Amber B Verdun | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2012-05-29 |
| 1659643054 | Dale Michael Sanderson | Nurse Practitioner | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2012-01-31 |
| 1023300845 | Michelle Lusco Cambias | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2011-05-12 |
| 1790077659 | Catherine Miller Marcus | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2011-05-11 |
| 1801188768 | Patricia Mcrae | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2011-05-11 |
| 1285960369 | Misty M Stewart | Nurse Practitioner | 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | 2009-10-26 |
| 1326252321 | Amanda Lewis Searle | Nurse Practitioner | 9000 Airline Hwy, Suite 340, Baton Rouge, LA 70815-4114 | 2007-05-09 |
| 1780898791 | Cherie Bourriague Adams | Nurse Practitioner | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817-5128 | 2007-05-09 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on MICHELE RODRIGUE THIBODEAUX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.