Angela Mae Thibodeaux-Goins, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP03450 Issued in LA

Practice address

10818 Highway 190
Opelousas, LA 70570-2673

Phone

(337) 443-7400

Fax

(855) 840-8050

NPI assigned

Oct 19, 2006

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 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Family Medicine, LLCGroup PAC ID 9032540265, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.goins.1@20525.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20525/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Southern Family Medicine, LLC

  • Rural Health Clinic/Center
  • Opelousas, LA
  • NPI 1538704010

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Southern Family Medicine, LLC

  • Rural Health Clinic/Center
  • Opelousas, LA
  • NPI 1538704010

  Family

  Medicare reassignment Care Compare group NPD
• Acadiana Medicine Clinic, Apmc

  • Internal Medicine Physician
  • Opelousas, LA
  • NPI 1245364819

  Family

  Medicare reassignment NPD
• Opelousas Emergency Group LLC

  • Emergency Medicine Physician
  • Opelousas, LA
  • NPI 1477522704

  Nurse Practitioner

  Medicare reassignment NPD
• Opelousas General Health System Physician Practices

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1003164054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG XV, LLC

  dba St. Landry HomeCare

  • Home Health Agency
  • Opelousas, LA
  • NPI 1538392238
  Care Compare affiliation
• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1205918513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 HIGHWAY 190",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702673",
            "telephone_number": "337-443-7400",
            "fax_number": "855-840-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 HIGHWAY 190",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705702673",
            "telephone_number": "337-443-7400",
            "fax_number": "855-840-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX-GOINS",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "RN061177",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE R.N.",
            "identifier": "AP03450",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gervis Tezeno Jr.
• Jalencia Tezeno
• The Family Clinic Inc
• Matthew Blaine Theriot, N.P.
• Randy Thibodeaix
• Amber Thibodeaux
• Ambrose Carroll Thibodeaux Jr., MT
• Carole Ann Thibodeaux, LAC AND RN
• Jay Thibodeaux
• Keisha Thibodeaux

• Family Nurse Practitioner in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.