PREVENTION PLUS OF THIBODAUX LLC (NPI# 1285005967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285005967 |
| Entity Type | Organization |
| Organization Name | PREVENTION PLUS OF THIBODAUX LLC |
| Practice Address |
905 Canal Blvd Thibodaux LA 70301-4505 |
| Mailing Address |
Po Box 1813 Thibodaux LA 70302-1813 |
| Practice Telephone | 9854929100 |
| Practice Fax Number | 9854929102 |
| Mailing Telephone | 9854929100 |
| Mailing Fax Number | 9854929102 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | KRYSTEN H PERQUE (PARTNER) |
| Authorized Official Telephone | 9854929100 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AP07204, MD01689 | LA | Other Service Providers |
| Street Address |
905 CANAL BLVD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992048011 | Krysten Hymel Perque | Nurse Practitioner | 905 Canal Blvd, Thibodaux, LA 70301-4505 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366527756 | Nano K Zeringue | Specialist | 900 Canal Blvd Ste 3, Thibodaux, LA 70301-4506 | 2006-10-26 |
| 1831209824 | David H Borne | Specialist | 506 N Acadia Rd, Thibodaux, LA 70301-4862 | 2006-08-30 |
| 1144267378 | Wayne Joseph Pharo | Specialist | 400 N Acadia Rd, Thibodaux, LA 70301-4856 | 2006-05-31 |
| 1770542136 | Henry C Mckowen | Specialist | 1105 Audubon Ave, Suite A, Thibodaux, LA 70301-4940 | 2006-03-22 |
| 1336142439 | James M. Schweitzer | Specialist | 608 N Acadia Rd, Thibodaux, LA 70301-4847 | 2005-05-23 |
| 1215214366 | Cowen Clinic for Rehabilitation Medicine, Apmc | Specialist | 604 N Acadia Rd, Suite 100, Thibodaux, LA 70301-4897 | 2011-11-03 |
| 1215088513 | Leslie John Daigle | Specialist | 808 Bayou Ln, Thibodaux, LA 70301-4906 | 2007-01-15 |
| 1699823450 | Advanced Southern Surgical | Specialist | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4847 | 2007-01-08 |
| 1790845287 | Louisiana Brain & Spine Clinic, II,llp | Specialist | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4847 | 2006-12-12 |
| 1922194232 | Thibodaux Orthopaedic and Sports Medicine Clinic | Specialist | 525 Saint Mary St, Thibodaux, LA 70301-2627 | 2006-10-05 |
| Find all providers in THIBODAUX | ||||
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| 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.