TRACY NICOLE THIBODEAUX (NPI# 1376869008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376869008 |
| Entity Type | Individual |
| Full Name | TRACY NICOLE THIBODEAUX |
| Credential | MS, CF-SLP |
| Practice Address |
2810 Ambassador Caffery Pkwy Lafayette LA 70506-5906 |
| Mailing Address |
317 Arceneaux Cir Scott LA 70583-4019 |
| Practice Telephone | 3379812949 |
| Mailing Telephone | 3373162238 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6245 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
2810 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236413 | Peter N Agomuo | Radiology | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2005-06-22 |
| 1124636683 | Lauren Butcher | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1750999157 | Beauvais Health, LLC | Rehabilitation Unit | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1154845808 | Collins T Kgoadi | Emergency Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2017-08-02 |
| 1992140701 | Degeyter and Rossitter Medical Research and Development LLC | Internal Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2013-05-07 |
| 1174898845 | Rmca Professionals Mgmt, LLC | Internal Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2012-03-14 |
| 1831422187 | Tommie Jude Hebert | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-09-17 |
| 1053540187 | Brandon Wayne Vidrine | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-07-10 |
| 1467686220 | Audrey Hopkins Davis | Occupational Therapist | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-08 |
| 1740414614 | Kelly Ann Malloy | Occupational Therapy Assistant | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051987 | Chit-chat Pediatric Therapy Services | Speech-Language Pathologist | 304 La Rue France, Lafayette, LA 70508-3134 | 2020-10-26 |
| 1295334704 | Layne Erica Dupre | Speech-Language Pathologist | 304 La Rue France Ste 101, Lafayette, LA 70508-3136 | 2020-10-26 |
| 1386259380 | Natalie Dronet Weaver | Speech-Language Pathologist | 345 Doucet Rd Ste 222, Lafayette, LA 70503-3490 | 2020-09-15 |
| 1801400262 | Chelsey Fuselier Scherer | Speech-Language Pathologist | 225 Ardenwood Dr, Lafayette, LA 70508-7366 | 2020-09-03 |
| 1710598594 | Andria Grace Workman | Speech-Language Pathologist | 3771 Laramie Dr, Lafayette, IN 47905-4022 | 2020-08-13 |
| 1003433004 | Laura Frances Landry | Speech-Language Pathologist | 200 Lakewood Dr, Lafayette, LA 70503-2214 | 2020-06-25 |
| 1154955938 | Kelly Ann Leleux | Speech-Language Pathologist | 105 Anaheim Ln, Lafayette, LA 70508-8058 | 2020-03-02 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1891335550 | Nicolette R Selensky | Speech-Language Pathologist | 400 W South Boulder Rd Ste 2500, Lafayette, CO 80026-2724 | 2020-01-10 |
| 1700436243 | Jocelyn Jaceen Su | Speech-Language Pathologist | 1312 Lambert Cir, Lafayette, CO 80026-3117 | 2019-09-17 |
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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.