Dawn Marie Thibodeau, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN-522637-L Issued in PA

Practice address

176 Virgina Ave.
Rochester, PA 15074-1723

Phone

(724) 775-5208

Fax

(724) 770-7913

NPI assigned

Apr 3, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1639435787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 VIRGINA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "724-775-5208",
            "fax_number": "724-770-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VIRGINA AVE.",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "724-775-5208",
            "fax_number": "724-770-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN-522637-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sos Recovery Services, Inc.
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• Kimberly L. Spencer, R.N.
• David Sprenkel, PHD
• Take Care Health Pennsylvania, PC
• Kurt Thorwart
• Thrift Drug Inc
• David R. Treter, DDS
• Union Orthotics & Prosthetics Co
• Lynn Margaret Valencic, L.C.S.W.

• Psychiatric/Mental Health Registered Nurse in Rochester, PA
• Providers in Rochester, PA by specialty
• Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.