MISS EMILY RENEE THIBODAUX (NPI# 1245666254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245666254 |
| Entity Type | Individual |
| Full Name | MISS EMILY RENEE THIBODAUX |
| Credential | P.A.-C |
| Practice Address |
1103 Kaliste Saloom Rd Suite 206 Lafayette LA 70508-5783 |
| Mailing Address |
1018 Highway 304 Thibodaux LA 70301-7331 |
| Practice Telephone | 3372671319 |
| Practice Fax Number | 3372671379 |
| Mailing Telephone | 9854140724 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
200652 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1103 KALISTE SALOOM RD SUITE 206 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-5783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937073 | Daniel Lee Hodges | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd, Suite 100, Lafayette, LA 70508-5783 | 2005-07-22 |
| 1659827129 | William Brandon Barnhill | Registered Nurse | 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 | 2016-08-25 |
| 1174980643 | Emily Degatur Hundley | Physician Assistant | 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 | 2016-01-28 |
| 1962800656 | Laura Harolds | Nurse Practitioner | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2014-12-11 |
| 1508265638 | Michael S Haydel Md Apmc | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2014-08-14 |
| 1952716011 | Ashley Lynn Whitmore | Orthopaedic Surgery | 1103 Kaliste Saloom Rd, Ste. 100, Lafayette, LA 70508-5783 | 2014-06-27 |
| 1508277534 | Kimberly Taylor | Nurse Practitioner | 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 | 2014-05-13 |
| 1851662795 | John B Sledge, IIi, Md,apmc | Orthopaedic Surgery | 1103 Kaliste Saloom Rd, Suite 100, Lafayette, LA 70508-5783 | 2012-01-24 |
| 1538438981 | Monique Therese Ardoin | Registered Nurse | 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 | 2011-12-14 |
| 1588968630 | Lauren Daigle Blanda | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 | 2011-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| 1285895060 | Jennifer Menard Piker | Physician Assistant | 605 Silverstone Road, Suite 100, Lafayette, LA 70508 | 2008-06-24 |
| 1013019108 | Tabatha Alma Tomajko | Physician Assistant | 300 Exempla Circle, Suite 360, Bluestone Advanced Surgical Care, Lafayette, CO 80026 | 2006-09-01 |
| 1437134707 | Cal Anthony Domingue | Physician Assistant | 5000 Ambassador Caffery Pkwy Bldg 14a, Lafayette, LA 70508-6984 | 2005-12-09 |
| 1811997075 | James R. Redmond Sr. | Physician Assistant | 601 W Saint Mary Blvd, Ste 308, Lafayette, LA 70506-3568 | 2005-07-28 |
| 1326694076 | Nathan J Ambrose | Physician Assistant | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2019-08-16 |
| 1720536618 | Richard Davis | Physician Assistant | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2016-09-20 |
| 1205218914 | Amanda Murray | Physician Assistant | 3900 St Francis Way Ste 201, Lafayette, IN 47905-4923 | 2015-06-18 |
| 1841626876 | Ashley Victoria Duplantis | Physician Assistant | 105 Patriot St, Suite 101, Lafayette, LA 70508-6831 | 2013-09-23 |
| 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.