Sandra Thibault, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

815310 Issued in TX

Practice address

305 Hogle St
Weatherford, TX 76086-2629

Phone

(817) 694-1547

NPI assigned

Feb 20, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1295235703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOGLE ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760862629",
            "telephone_number": "817-629-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOGLE ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760862629",
            "telephone_number": "817-694-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "SANDRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "815310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Home Health Skilled Services, L.P.
• Texas Orthopaedic Associates, LLP
• Alayna Paige Thames, OTR
• The Dermatology Spot PLLC
• The Uniform Store
• Thomas C. Binzer M.D.,P.a.
• Brandi Thomas, LMT
• Joseph Thomas, DO
• Diana Thompson, L.P.C.
• John Howard Thompson, M.D.

• Registered Nurse in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.