Molly Roe Thibodeaux, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 10151 Issued in CO

Practice address

1 Mercado St
Suite 145 Mercy Medical Plaza
Durango, CO 81301-7306

Phone

(970) 247-5543

NPI assigned

Oct 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Southwest Midwives, Inc

  • Midwife
  • Durango, CO
  • NPI 1205990165
  NPD (past)
• Welsh Family Practice Clinic

  • Family Nurse Practitioner
  • Welsh, LA
  • NPI 1356377097
  NPD (past)

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1265767792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 VALLEY CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813013744",
            "telephone_number": "970-749-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 145 MERCY MEDICAL PLAZA",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-247-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "MOLLY",
        "middle_name": "ROE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP 10151",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "192552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Training Room
• Ann Theine, PA-C
• Therapeutic Experiences, LLC
• Therapy Collective LLC
• Therapy for Rebels PLLC
• Nella Marie Thompson
• Joyce Elaine Thomsen Stransky, D.C.
• Nancy Ann Thorne, NP
• Three Springs Imaging, LLC
• Three Springs Imaging, LLC

• Family Nurse Practitioner in Durango, CO
• Providers in Durango, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.