Individual provider Active NPI

Bobbie Jo Thibodaux

  • School Registered Nurse
  • Thibodaux, LA
National Provider Identifier
1689332264
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN105928 Issued in LA
Practice address
110 Bowie Rd
Thibodaux, LA 70301-6703
Phone
(985) 447-8181
Fax
(985) 446-3118
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN105928 LA Primary

Addresses

Primary practice location

110 Bowie Rd
Thibodaux, LA 70301-6703

Mailing address

PO Box 471
Thibodaux, LA 70302-0471
Phone (985) 447-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN105928LAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1689332264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703020471",
            "telephone_number": "985-447-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOWIE RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016703",
            "telephone_number": "985-447-8181",
            "fax_number": "985-446-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODAUX",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-09-30",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "LA",
            "license": "RN105928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.