Michele Rodrigue Thibodeaux, CNNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

RN065691-AP02120 Issued in LA

Practice address

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128

Phone

(225) 928-2555

Fax

(225) 929-9685

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Baton Rouge Neonatal Associates, Inc.

  dba Infamedics

  • Critical Care Neonatal Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1225484298

  Neonatal, Critical Care

  NPD (past)
• Baton Rouge Neonatal Associates, Inc.

  dba Infamedics, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Baton Rouge, LA
  • NPI 1922193911
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1265754618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 HIGHWAY 1",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703908728",
            "telephone_number": "985-369-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "MICHELE",
        "middle_name": "RODRIGUE",
        "credential": "CNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "RN065691-AP02120",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "LA",
            "license": "AP02120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2174703",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Citron Thibodeaux, PLPC
• Emma Marie Thibodeaux
• Joel D'Aquin Thibodeaux, MSW, LCSW
• Katelyn Thibodeaux
• Lynda W Thibodeaux
• Tracie Thibodeaux
• Clarissa Thierry
• Yolanda M. Thierry
• Rhonda E Thigpen, MD
• Thomas a Hansbrough, MD Apmc (Thomas A Hansbrough, MD)

• Neonatal Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Neonatal Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.