Refresh Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REFRESH HEALTHCARE LLC

Practice address

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

Phone

(337) 520-2587

Fax

(337) 520-2594

NPI assigned

Jul 2, 2020

Last updated

Oct 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Sampy Thibodeaux, FNP-C, PMHNP-BCNPI 1265887012

Title

Ceo

Phone

(337) 520-2587

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Sampy Thibodeaux, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carencro, LA
  • NPI 1265887012

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Yolanda Narcisse Breaux

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1447852025
  NPD

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697328000000",
    "number": "1295352540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705201003",
            "telephone_number": "337-520-2587",
            "fax_number": "337-520-2590"
        },
        {
            "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": {
        "organization_name": "REFRESH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "SAMPY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-520-2587",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427172",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.