Holly Thibodeaux, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

125933 Issued in TX

Practice address

24727 Tomball Parkway
Suite 120
Tomball, TX 77375

Phone

(281) 440-5300

Fax

(281) 378-3850

NPI assigned

Jun 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.thibodeaux.1@19704.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • Spring, TX
  • NPI 1245777440
  Medicare reassignment NPD
• David P Ellent PLLC

  • Clinical Medical Laboratory
  • Kingwood, TX
  • NPI 1891348959
  NPD
• Genesis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tomball, TX
  • NPI 1255987434
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1104028554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753346",
            "telephone_number": "281-255-3838",
            "fax_number": "281-255-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24727 TOMBALL PARKWAY",
            "address_2": "SUITE 120",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-440-5300",
            "fax_number": "281-378-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "HOLLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "125933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028771",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alecia Thomas
• Demarco Antonio Thomas, DPT
• Christina Marie Thompson
• Christopher Ryan Thompson, D.D.S.

• Family Nurse Practitioner in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.