Nanette Marie Thibado, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

812343 Issued in NY

Practice address

620 Madison St.
Suite 120
Syracuse, NY 13210

Phone

(315) 426-3600

Fax

(315) 426-3605

NPI assigned

Jun 5, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1073407060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W COLVIN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071915",
            "telephone_number": "315-935-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MADISON ST.",
            "address_2": "SUITE 120",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-426-3600",
            "fax_number": "315-426-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBADO",
        "first_name": "NANETTE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "812343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Salvation Army
• Ther Centers at St. Camillus
• Therapeutic Mental Health Counseling, PLLC
• Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC
• Marc Therrien
• Jessica Lynne Thibeau, LMSW
• Jennifer Ann Thieben, RPA-C
• Brett J Thiel, CRNA
• Hope Alyssa Thilburg, OTR/L
• Arshdeep Thind

• Psychiatric/Mental Health Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.