AMBER THIBODEAUX (NPI# 1023509056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023509056 |
| Entity Type | Individual |
| Full Name | AMBER THIBODEAUX |
| Practice Address |
1017 Saint John St Lafayette LA 70501 |
| Mailing Address |
3625 Youree Dr Shreveport LA 71105-2121 |
| Practice Telephone | 3372612300 |
| Practice Fax Number | 3372619080 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 Westmark Blvd, Lafayette, LA 705067345 | 3372337250 | 3372337104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032365 | Amber Thibodeaux | Community/Behavioral Health | 805 South Union Street, Opelousas, LA 70570 | 2017-06-08 |
| Street Address |
1017 SAINT JOHN ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952687212 | Latara Leggett | Social Worker | 1017 Saint John St, Lafayette, LA 70501-6711 | 2011-10-31 |
| 1659979144 | Ronda Babineaux | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-10-15 |
| 1972122422 | Nakeetha Savoy | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-04-15 |
| 1003435298 | Schyvanda Theresa Baranco | Case Manager/Care Coordinator | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-04-09 |
| 1699300293 | Jude Bernard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-03-04 |
| 1790318087 | Denise Deville | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-15 |
| 1417580796 | Tears Mickens | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1033742432 | Laversia Theresa Landry | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1447883723 | Aiesha Danelle Broussard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1033742424 | Tiffany Rene' Turner | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| 1053925891 | Tiesha Sheridan | Case Manager/Care Coordinator | 201 Pavilion St, Lafayette, LA 70507-2691 | 2020-08-31 |
| 1821608621 | Dana St Julien | Case Manager/Care Coordinator | 103 Whirlaway Drive, Lafayette, LA 70507-2592 | 2020-08-06 |
| 1023636032 | Kayla Lynn Falgout | Case Manager/Care Coordinator | 112 Hillside Dr Apt 36, Lafayette, LA 70503-2837 | 2020-07-07 |
| 1437772258 | Cristian Jose Leopoldo Caraballo Rodriguez | Case Manager/Care Coordinator | 2509 Johnston St Apt 7-06, Lafayette, LA 70503-3261 | 2020-05-27 |
| 1124649371 | Jean Harford | Case Manager/Care Coordinator | 415 N 26th St Ste 102, Lafayette, IN 47904-2855 | 2020-04-29 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1700410925 | Ireland Williams | Case Manager/Care Coordinator | 201 High Meadows Blvd Apt 116, Lafayette, LA 70507-3454 | 2020-02-26 |
| 1619508173 | Erik Narcisse | Case Manager/Care Coordinator | 1318 Lee Ave Apt A8, Lafayette, LA 70506-3663 | 2020-02-03 |
| 1841821899 | Bailey Derrion Valentine | Case Manager/Care Coordinator | 1400 N Bertrand Dr Apt 5111, Lafayette, LA 70506-3066 | 2020-01-29 |
| Find all providers in LAFAYETTE | ||||
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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.