TRPP-Aco LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRPP-ACO LLC

Practice address

602 N. Acadia Road
Thibodaux, LA 70301

Phone

(985) 493-4907

Fax

(985) 449-2585

NPI assigned

May 17, 2021

Organization subpart

Yes

Parent organization

THIBODAUX REGIONAL HEALTH SYSTEM INCAs reported in NPPES

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

Authorized official

Name

Kim Legendre Boudreaux, MBA

Title

Executive Director

Phone

(985) 449-2585

Specialties & licenses 3

Addresses

Part of

Thibodaux Regional Health System Inc

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1295309029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N. ACADIA ROAD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-493-4907",
            "fax_number": "985-493-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N. ACADIA ROAD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-493-4907",
            "fax_number": "985-449-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRPP-ACO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THIBODAUX REGIONAL HEALTH SYSTEM INC",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LEGENDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-449-2585",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Re'Nashia Triggs, BS
• Caleb Trobaugh
• Abigail Joy Trosclair
• Casie Lynn Trosclair, FNP-C
• Sarah H Trosclair
• John Turchin
• Sherryl Twiford, PA-C
• Rubie Valdivia, BS
• Madison Van Eck, PLPC, NCC, MA, BS
• Allen W. Vander, M.D.

• Family Medicine Physician in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.