Tiffany Sampy Thibodeaux, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP08711 Issued in LA

Practice address

3419 NW Evangeline Trwy Ste H-3
Carencro, LA 70520-6241

Phone

(337) 520-2587

Fax

(337) 520-2594

NPI assigned

Apr 29, 2016

Last updated

May 16, 2025By the provider in NPPES

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

Other identifiers 1

Other names 1

• Tiffany Louise Sampy Former name

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18475/brand/1/csg/1/fhir/r4
• Direct secure messaging: tiffany.thibodeaux@577303889969156.direct.elationemr.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.

• Refresh Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1295352540

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262

  Multi-Specialty

  Medicare reassignment NPD
• Quickmed After Hours Walk in Clinic

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1063995488

  Multi-Specialty

  Medicare reassignment NPD
• Refresh Vitalis Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1881541373

  Multi-Specialty

  NPD Authorized official
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141

  Multi-Specialty

  NPD
• St. Martin Hospital, Inc.

  dba St. Martin Hospital

  • Cardiovascular Disease Physician
  • Breaux Bridge, LA
  • NPI 1407175615

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1265887012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 NW EVANGELINE TRWY STE H-3",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206241",
            "telephone_number": "337-520-2587",
            "fax_number": "337-520-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 NW EVANGELINE TRWY STE H-3",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206241",
            "telephone_number": "337-520-2587",
            "fax_number": "337-520-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "TIFFANY",
        "middle_name": "SAMPY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08711",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427172",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SAMPY",
            "middle_name": "LOUISE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yolanda Strong, IOMT
• Summit Physical Therapy, Inc.
• Sunshine a Little MD
• Swla Center for Health Services (SWLA Center for Health Services @ Carencro Middle School)
• Synapse
• Thomas Group Enterprises, LLC (A Place At Home)
• Charletta Roy Thomas
• John W Thomas
• Eric Tournet
• Triton Healthcare

• Psychiatric/Mental Health Nurse Practitioner in Carencro, LA
• Providers in Carencro, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.