Individual provider Active NPI

Sheila G Pitre, MD

  • Pediatrics Physician
  • Thibodaux, LA
National Provider Identifier
1124045620
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
09890R Issued in LA
Practice address
807 Ridgefield Rd
Thibodaux, LA 71301-2725
Phone
(985) 447-9045
Fax
(985) 447-3349
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 09890R LA Primary

Addresses

Primary practice location

807 Ridgefield Rd
Thibodaux, LA 71301-2725

Mailing address

807 Ridgefield Rd
Thibodaux, LA 70301-2725
Phone (985) 447-9045

Other identifiers 1

IdentifierTypeStateIssuer
1651435MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000018 LA Practitioner - Pediatric Medicine 9436562436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09890RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Dec 31, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Dec 31, 2020 Accepting new patients
Thibodaux Regional Health System Inc Past Accepting new patients

Locations

604 N Acadia Rd
Ste 100
Thibodaux, LA 70301
Phone (985) 447-9045

807 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 447-9045

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Interoperability endpoints

  • Direct secure messaging: sheila.pitre@direct.thibodaux.la-hie.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1124045620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 RIDGEFIELD RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012725",
            "telephone_number": "985-447-9045",
            "fax_number": "985-447-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 RIDGEFIELD RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "713012725",
            "telephone_number": "985-447-9045",
            "fax_number": "985-447-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRE",
        "first_name": "SHEILA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "09890R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651435",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.