BETHANIE TAYLOR THIBODAUX (NPI# 1740732536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740732536 |
| Entity Type | Individual |
| Full Name | BETHANIE TAYLOR THIBODAUX |
| Credential | FNP-C |
| Practice Address |
1124 7th St Morgan City LA 70380 |
| Mailing Address |
1115 Weber St Franklin LA 70538-4124 |
| Practice Telephone | 9853842371 |
| Practice Fax Number | 9853842645 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3378285411 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08945/RN140939 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP08945 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2434071 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1216 N Victor II Blvd, Suite 100, Morgan City, LA 703801382 | 9857022229 | 9853840329 |
| Street Address |
1124 7TH ST |
| City | MORGAN CITY |
| State | LA |
| Zip Code | 70380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070824 | Russo Clinic-a Medical Corporation | Internal Medicine | 1124 7th St, Morgan City, LA 70380-1951 | 2005-08-16 |
| 1760016562 | Teche Action Board, Inc. | Pharmacist | 1124 7th St, Morgan City, LA 70380 | 2020-03-02 |
| 1639702087 | Teche Action Board, Inc. | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2020-02-13 |
| 1396121117 | Teche Action Board, Inc. | Clinic/Center | 1124 7th St, Morgan City, LA 70380-1951 | 2015-08-04 |
| 1669814513 | Kristi Mcdonald Boudreaux | Nurse Practitioner | 1124 7th St, Morgan City, LA 70380-1951 | 2013-07-20 |
| 1134493695 | Kalisha Antonia Nelson | Dentist | 1124 7th St, Morgan City, LA 70380-1951 | 2012-03-01 |
| 1124307566 | Teche Action Board Inc | Clinic/Center | 1124 7th St, Morgan City, LA 70380-1951 | 2011-08-16 |
| 1417235953 | St Mary Pharmacy LLC | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2011-08-02 |
| 1649569906 | Nsikan St Martin | Obstetrics & Gynecology | 1124 7th St, Morgan City, LA 70380-1951 | 2011-04-06 |
| 1376737973 | Russos Health Mart Inc | Durable Medical Equipment & Medical Supplies | 1124 7th St, Morgan City, LA 70380-1951 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625486 | Aubree Elizabeth-grace Underwood | Counselor | Fairview Treatment Center, 1101 Southeast Blvd, Morgan City, LA 70380 | 2019-12-02 |
| 1235609827 | Lori Billiot | Counselor | 434 Lagonda Rd, Morgan City, LA 70380 | 2018-11-27 |
| 1942720255 | Landon Robinson | Non-emergency Medical Transport (VAN) | 1200 Victor II Blvd Suite 500, Morgan City, LA 70380 | 2017-06-27 |
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1154667210 | Bayou Smiles Center | Dentist | 1205 Victor II Blvd, Morgan City, LA 70380 | 2012-12-18 |
| 1265788707 | Hpc Biologicals Inc | Pharmacy | 1234 David Dr Ste A, Morgan City, LA 70380 | 2012-08-02 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1235449067 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 | 2010-10-14 |
| 1659600989 | Walter H. Daniels, M.d. A Professional Medical Corp. | Family Medicine | 1300 Lakewood Drive, Suite G, Morgan City, LA 70380 | 2009-12-16 |
| Find all providers in zip 70380 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1932424165 | Linsey Daigle | Nurse Practitioner | 1234 David Dr # 2, Morgan City, LA 70380-1300 | 2010-03-31 |
| 1073511960 | Angela Fuller Doiron | Nurse Practitioner | 1302 Lakewood Dr., Plaza 2 Suite 200, Morgan City, LA 70380 | 2005-07-13 |
| 1982196432 | Donna Boudreaux Wilson | Nurse Practitioner | 1125 Marguerite St, Morgan City, LA 70380-1855 | 2018-05-31 |
| 1093251472 | Brittany Mire | Nurse Practitioner | 500 Roderick St Ste B, Morgan City, LA 70380-2278 | 2017-01-10 |
| 1598115362 | Ashley M Hebert | Nurse Practitioner | 1055 David Dr, Morgan City, LA 70380-1317 | 2016-06-13 |
| 1801278437 | Olivia Haddad Walker | Nurse Practitioner | 1055 David Dr, Morgan City, LA 70380-1317 | 2015-06-19 |
| 1669814513 | Kristi Mcdonald Boudreaux | Nurse Practitioner | 1124 7th St, Morgan City, LA 70380-1951 | 2013-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN CITY |
| Zip Code | 70380 |
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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.