Christine C Thistlethwaite, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

A10190 Issued in LA

Practice address

141 Twin Oaks Dr
Raceland, LA 70394-2761

Phone

(985) 537-2666

Fax

(985) 537-1986

NPI assigned

Jan 23, 2006

Last updated

Nov 3, 2020By 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD (past)
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner Health Center - Marrero

  • General Practice Physician
  • Marrero, LA
  • NPI 1336348382
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1750351961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942761",
            "telephone_number": "985-537-2666",
            "fax_number": "985-591-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TWIN OAKS DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942761",
            "telephone_number": "985-537-2666",
            "fax_number": "985-537-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THISTLETHWAITE",
        "first_name": "CHRISTINE",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "A10190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039641",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Tagorda, MD
• Denise Taylor, LPC
• Liza Terrebonne
• Thibodaux Regional Network Development Corporation (Thibodaux Regional Multi-Specialty Clinic-Raceland)
• Grant Michael Thibodeaux, PT, DPT
• Angelique Griffin Torres, ANP APPLICANT
• Carsyn Touzet
• Thao Mai Thi Tran
• Tuong-VI Thi Tran
• Tri-City Pharmacies, Inc. (Acadia Park Drugs)

• Medical Physician Assistant in Raceland, LA
• Providers in Raceland, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.