Vanessa Cloutier Thibodeaux, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME147842 Issued in FL

Practice address

320 Racetrack Rd NW Ste 100a
Fort Walton Beach, FL 32547-1796

Phone

(850) 315-8360

NPI assigned

Mar 20, 2013

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Louisiana State University School of Medicine in New Orleans, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vanessa.thibodeaux@335000925634564.direct.elationemr.com
• Direct secure messaging: vanessa.thibodeaux@hca5.eclinicaldirectplus.com

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

• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
  • NPI 1710647334
  Medicare reassignment Care Compare group NPD
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1457011751
  NPD
• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Winter Haven, FL
  • NPI 1851282016
  NPD
• University of South Alabama Health Care Authority

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508392432
  NPD
• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372
  NPD (past)
• University Healthcare System, L.C.

  dba LCMC Health Pharmacy Services-Lakeside

  • Community/Retail Pharmacy
  • Metairie, LA
  • NPI 1619446580
  NPD (past)

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

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245572031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RACETRACK RD NW STE 100A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471796",
            "telephone_number": "850-315-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RACETRACK RD NW STE 100A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471796",
            "telephone_number": "850-315-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "VANESSA",
        "middle_name": "CLOUTIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2022-02-01",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME147842",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "LA",
            "license": "MD.305061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VANESSA.THIBODEAUX@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "320 Racetrack Rd NW Ste 100A",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325471796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.
• 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.