Raechel Anne Thacker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

LA155294 Issued in LA

Practice address

20399 Government Blvd
Livingston, LA 70754

Phone

(225) 686-7017

NPI assigned

Aug 27, 2018

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

Practice roles

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

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1780165753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20399 GOVERNMENT BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-686-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20399 GOVERNMENT BLVD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "70754",
            "telephone_number": "225-686-7017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Carolina Ave",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273319",
            "country_code": "US",
            "telephone_number": "985-732-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15481 W Club Deluxe Rd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031466",
            "country_code": "US",
            "telephone_number": "985-543-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "LA",
            "postal_code": "704381161",
            "country_code": "US",
            "telephone_number": "985-839-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "RAECHEL",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "LA155294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skipper K Stewart, APRN
• Kristen Bottolfs Stilley, M.S., L-SLP, CCC-SLP
• Kayla Adams Stromeyer, B.S., SLP-ASSISTANT
• Courtney Taylor
• Becky Tennison, APRN FNP-C
• Heather Lynne Thibodeaux, LCSW-BACS
• Teresa Thibodeaux, M.S., L-SLP, CCC-SLP
• Lauren Marie Thompson, LPN
• Thrift Town RX LLC
• Thrift Town RX LLC

• Registered Nurse in Livingston, LA
• Providers in Livingston, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.