Shawna Marie Thibodeaux

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

829 E Georgia Ave Ste 3
Ruston, LA 71270-3901

Phone

(318) 242-0730

Fax

(318) 242-0750

NPI assigned

Aug 1, 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

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1205710449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 E GEORGIA AVE STE 3",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703901",
            "telephone_number": "318-242-0730",
            "fax_number": "318-242-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 E GEORGIA AVE STE 3",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703901",
            "telephone_number": "318-242-0730",
            "fax_number": "318-242-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Corner Drug Store
• The Diabetes Care Center
• The Dragonfly Harbor, Inc.
• The Howard Hope Foundation
• The Visual Difference LLC
• Sally Elizabeth Thigpen, PH.D.
• Thinktrek LLC
• Thinktrek LLC
• Aabu Alex Thomas, M.D.
• Katelyn Hope Thomas, MA, BCBA

• Case Manager/Care Coordinator in Ruston, LA
• Providers in Ruston, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.