MRS. COURTNEY LYNN THIBEAULT (NPI# 1346748043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346748043 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY LYNN THIBEAULT |
| Credential | DNP |
| Practice Address |
475 Kilvert St Warwick RI 02886 |
| Mailing Address |
Po Box 2153 Dept 40338 Birmingham AL 35287-9386 |
| Practice Telephone | 4017376900 |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN01781 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2274057 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902204944 | Courtney Thibeault | Counselor | 35 Summer St, #202, Taunton, MA 02780-3469 | 2014-12-08 |
| Street Address |
475 KILVERT ST |
| City | WARWICK |
| State | RI |
| Zip Code | 02886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634535 | Patricia Ann Chace | Internal Medicine | 475 Kilvert St, Warwick, RI 02886-1379 | 2005-07-28 |
| 1275168965 | Caitlin Nicole Tazi | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-03-03 |
| 1295369452 | Mary Ann Caouette | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-02-26 |
| 1679104236 | Jamie Lee Delacruz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-01-31 |
| 1467002097 | Dillon Jackson Madrigal | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-09-16 |
| 1033770342 | Olajumoke Adetunji | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-26 |
| 1710546783 | Mark Paul Fontes | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-12 |
| 1558924688 | Laila Aziz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-04-15 |
| 1861975112 | Kimberly Mae Bissell | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-12 |
| 1477035749 | Kellsey Cormier | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1316497225 | Katharine Baldwin | Nurse Practitioner | 7 Horse Hill Ln, Warwick, NY 10990-2665 | 2016-10-04 |
| 1790836682 | Donna Zaken | Nurse Practitioner | 100 Cascade Rd, Warwick, NY 10990-3865 | 2007-01-16 |
| 1508817545 | Wanda K Pothier | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2006-05-15 |
| 1467002097 | Dillon Jackson Madrigal | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-09-16 |
| 1922525237 | Scott A. Clement | Nurse Practitioner | 400 Bald Hill Rd Ste 511, Warwick, RI 02886-6100 | 2017-08-28 |
| 1578935649 | Micheal James Ray | Nurse Practitioner | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2015-10-28 |
| 1639540826 | Camille M Moonsammy | Nurse Practitioner | 469 Centerville Rd, Warwick, RI 02886-4354 | 2015-10-13 |
| 1356622120 | Samara Deva Russell | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2011-09-07 |
| 1871892042 | Karen Marie Deluca | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2011-03-26 |
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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.