TESSA THIBODEAUX (NPI# 1568071108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568071108 |
| Entity Type | Individual |
| Full Name | TESSA THIBODEAUX |
| Credential | AGACNP |
| Practice Address |
3901 W 15th St Plano TX 75075-7738 |
| Mailing Address |
101 Valley View Ln Jacksonville TX 75766-5854 |
| Practice Telephone | 9725966800 |
| Mailing Telephone | 9033523070 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
AP144923 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75075-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394670 | Akilan Arumugham | Radiology | 3901 W 15th St, Plano, TX 75075-7738 | 2005-05-24 |
| 1225663867 | North Texas Gi Hospitalists, LLC | Internal Medicine | 3901 W 15th St, Plano, TX 75075-7738 | 2020-03-04 |
| 1801426408 | Lesley George | Pharmacist | 3901 W 15th St, Plano, TX 75075-7738 | 2020-01-22 |
| 1700416989 | James J Rockefeller Md, Pllc | Anesthesiology | 3901 W 15th St, Plano, TX 75075-7738 | 2020-01-16 |
| 1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
| 1528616042 | Lighthouse Anesthesia Pllc. | Anesthesiology | 3901 W 15th St, Plano, TX 75075-7738 | 2019-08-28 |
| 1962058636 | Halen Benjamin | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-08-17 |
| 1730731142 | Shelby Jane Smith | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-15 |
| 1033761630 | Simon Kaitei | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-07-12 |
| 1467910745 | Monika Michelle Mutchler | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398505 | Melissa Horner | Nurse Practitioner | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969917 | Grace Gathoni Kamau | Nurse Practitioner | 3255 Yeltes, Grand Prairie, TX 75054-7505 | 2020-07-21 |
| 1053943217 | Joeresty Tabujara Abelida | Nurse Practitioner | 5711 Dhaka Vw, San Antonio, TX 78250-4630 | 2020-02-06 |
| 1295377406 | Christan Depaul Russell | Nurse Practitioner | 17202 Kobuk Valley Cir, Humble, TX 77346-2951 | 2019-10-09 |
| 1972078541 | Robert Engle | Nurse Practitioner | 6306 Rincon Way, Dallas, TX 75214-2039 | 2018-10-09 |
| 1083141071 | Preethi Antony | Nurse Practitioner | Baylor College of Medicine-baylor St Lukes Medical Gp, 6720 Bertner Avenue, Houston, TX 77030 | 2017-05-22 |
| 1750750030 | Jose Tirso Montecillo | Nurse Practitioner | 2009 Dartmouth Ave, Mcallen, TX 78504-5767 | 2015-09-17 |
| 1770505901 | Nola Sikora Damon | Nurse Practitioner | 3409 Andrews Hwy, Midland, TX 79703-5149 | 2006-07-24 |
| 1417938937 | Julie Gay Loudamy | Nurse Practitioner | 318 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2005-11-10 |
| 1831798685 | Jacob Don Paul | Nurse Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2020-10-22 |
| 1376140756 | Sandisiwe Ndlovu | Nurse Practitioner | 6651 Main St, Houston, TX 77030-2351 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.