ASHLEY MARIE THIBODEAU (NPI# 1396275582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396275582 |
| Entity Type | Individual |
| Full Name | ASHLEY MARIE THIBODEAU |
| Practice Address |
1540 E Medical Center Dr Ann Arbor MI 48109-0100 |
| Mailing Address |
28 Harbor Hill Rd Grosse Pointe Farms MI 48236-3748 |
| Practice Telephone | 8774756688 |
| Mailing Telephone | 3134107844 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
4704293510 | MI | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60810818 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704293510 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629265145 | Ashley D. Thibodeau | Counselor | 2 Airport Dr, Presque Isle, ME 04769-2041 | 2007-09-28 |
| Street Address |
1540 E MEDICAL CENTER DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326400011 | Yanisleidy Paez | Student in an Organized Health Care Education/Training Program | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2016-03-22 |
| 1285265751 | Ann Miller | Nurse Practitioner | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2020-02-03 |
| 1881243434 | Danielle Marie Kapnick | Nurse Practitioner | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2019-09-06 |
| 1194291393 | Megan Schmuckel | Speech-Language Pathologist | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2018-10-16 |
| 1245725829 | Kathleen Ellen O'brien | Obstetrics & Gynecology | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2018-06-26 |
| 1841793163 | Meghan Strpko | Physical Therapist | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2018-03-13 |
| 1538661491 | Tracy Klein | Occupational Therapist | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2018-03-06 |
| 1043712144 | Heather Ann Bowen | Occupational Therapist | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2018-03-05 |
| 1639601321 | Rachel Sehgal | Student in an Organized Health Care Education/Training Program | 1540 E Medical Center Dr, Ann Arbor, MI 48109-0100 | 2017-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477073047 | Ariel Ann Shagena | Nurse Practitioner | 760 W Eisenhower Pkwy Ste 208, Ann Arbor, MI 48103-6196 | 2017-06-23 |
| 1083862924 | Sarah Stewart Leroy | Nurse Practitioner | 3300 Lorraine St, Healthplace101, Ann Arbor, MI 48108-1970 | 2008-09-04 |
| 1588857387 | Yvette White | Nurse Practitioner | 2600 Green Rd, Suite 150a, Ann Arbor, MI 48105-4631 | 2007-08-24 |
| 1801857669 | Karen Ann Kopicko | Nurse Practitioner | 911 Brown St, Ann Arbor, MI 48104-3203 | 2006-03-31 |
| 1831170737 | Jennifer Salerno | Nurse Practitioner | 2800 Stone School Rd, Ann Arbor, MI 48104-7434 | 2005-11-08 |
| 1376158311 | Haven Shaffer | Nurse Practitioner | 4350 Jackson Rd Ste 100, Ann Arbor, MI 48103-1889 | 2020-09-15 |
| 1629690227 | Kelly Sweeney | Nurse Practitioner | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2020-05-18 |
| 1861030439 | Jillian Margaret Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-12-14 |
| 1598319204 | Julianne Elizabeth Stieber | Nurse Practitioner | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2019-07-31 |
| 1225506017 | Emily Ann Miller | Nurse Practitioner | 1500 East Medical Center Dr, 11th Floor C.s. Mott Children's Hospital Rm 661, Ann Arbor, MI 48109-5204 | 2018-11-09 |
| Find all providers in ANN ARBOR | ||||
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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.