Individual provider Active NPI

Heather Thibodaux Thomassie, NP

  • Family Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1548613136
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08939 Issued in LA
Practice address
142 Rue Marguerite # B
Thibodaux, LA 70301-6708
Phone
(985) 446-2131
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08939 LA Primary

Addresses

Primary practice location

142 Rue Marguerite # B
Thibodaux, LA 70301-6708

Mailing address

142 Rue Marguerite # B
Thibodaux, LA 70301-6708
Phone (985) 446-2131

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170216002023 LA Practitioner - Nurse Practitioner 3476836412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chester G Boudreaux MD IncGroup PAC ID 2365725462, 2 clinicians

Practice addresses (Care Compare)

142 Rue Marguerite
Thibodaux, LA 70301-6708
Phone (985) 448-2131

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08939LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Internal Medicine Associates,Inc. Current Accepting new patients

Locations

142 Rue Marguerite
Thibodaux, LA 70301
Phone (985) 446-2131

142 Rue Marguerite
#G
Thibodaux, LA 70301
Phone (985) 446-2131

142 Rue Marguerite
#B
Thibodaux, LA 70301
Phone (985) 446-2131

Interoperability endpoints

  • Direct secure messaging: heatherthomassie@rimallc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1548613136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 RUE MARGUERITE # B",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016708",
            "telephone_number": "985-446-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 RUE MARGUERITE # B",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016708",
            "telephone_number": "985-446-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSIE",
        "first_name": "HEATHER",
        "middle_name": "THIBODAUX",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.