Crystal Thibodaux

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

420 Magnolia St
Houma, LA 70360-6304

Phone

(985) 855-8055

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1609521186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606304",
            "telephone_number": "985-855-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606304",
            "telephone_number": "985-855-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODAUX",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell P Theriot, DDS
• Myrn Theriot, BA
• Thibodaux Regional Network Development Corporation (Thibodaux Regional Multi-Specialty Clinic-Houma)
• Thibodaux Regional Urgent Care LLC (Thibodaux Regional Urgent Care - Houma)
• Bernadette Thibodaux, LAC, CCGC
• Lisa Thibodeaux, LCSW
• Nicole Thieler, D.D.S.
• Crystal Lynn Thomas, PHARM.D.
• Denise Thomas
• Gail Thomas, LPC-S

• Case Manager/Care Coordinator in Houma, LA
• Providers in Houma, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.