Christina Hope Thibodeaux, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5509 Pleasant Valley Dr
Suite 60
Plano, TX 75023-5248

Phone

(972) 985-9003

Fax

(972) 985-1176

NPI assigned

Apr 12, 2006

Last updated

Mar 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: doctortest@conger.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment
• Dermatology Center of Plano

  • Dermatology Physician
  • Plano, TX
  • NPI 1992868426
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1639133267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR",
            "address_2": "SUITE 60",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235248",
            "telephone_number": "972-985-9003",
            "fax_number": "972-985-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR",
            "address_2": "SUITE 60",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235248",
            "telephone_number": "972-985-9003",
            "fax_number": "972-985-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "CHRISTINA",
        "middle_name": "HOPE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy With Apryll, PLLC
• Therapy With Zainab LLC
• Thesis Pharmacy LLC (Texas Star Pharmacy)
• Thi of Texas at Plano LLC (The Park in Plano)
• Thi of Texas at Plano, LLC (The Park in Plano)
• Mark David Thieberg, M.D.
• Stefan Peter Thiele, MD
• Matthew Anthony Thieman, PHARMD
• Thien Khan, P.a.
• Michelle Thieu, MD

• Medical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.