Jessica Thibodeau, APRN, BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0417842305 Issued in NH

Practice address

25 Mount Eustis Rd
Littleton, NH 03561-3712

Phone

(603) 444-2464

Fax

(603) 444-3441

NPI assigned

Feb 7, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessicathibodeau@achs.medalliesdirect.net

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.

• Ammonoosuc Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Warren, NH
  • NPI 1982821765
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1417929910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LINCOLN AVE",
            "city": "LISBON",
            "state": "NH",
            "postal_code": "035856508",
            "telephone_number": "603-838-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNT EUSTIS RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2464",
            "fax_number": "603-444-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "JESSICA",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "0417842305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009281",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Taylor, DDS
• Jerome Terres, M.D.
• Deborah G. Tewksbury, MNT
• The Alpine Clinic, PLLC
• The Solis Network, PLLC
• Jeremy Robert Todd, CPHT
• Matthew William Toms
• Donna Lynn Toohey, FNP-BC
• Town of Littleton
• Barry Townsend, CRNA

• Adult Health Nurse Practitioner in Littleton, NH
• Providers in Littleton, NH by specialty
• Adult Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.