Individual provider Active NPI

Sunnie Jo Thiberville, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1841628385
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
709790 Issued in TX
Practice address
1924 Pine St Ste 401a
Abilene, TX 79601-2452
Phone
(325) 670-4000
Fax
(325) 670-4008
NPI assigned
Oct 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 709790 TX Primary

Addresses

Primary practice location

1924 Pine St Ste 401a
Abilene, TX 79601-2452

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4372

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140304001297 TX Practitioner - Nurse Practitioner 9931339314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1665 Antilley Rd
Suite 200
Abilene, TX 79606-5271
Phone (325) 793-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jan 1, 2015 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Hendrick Provider Network CurrentSince Jan 1, 2015 Accepting new patients
Hendrick Medical Center Current Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1924 Pine St
Ste 401A
Abilene, TX 79601
Phone (325) 670-4000

1326 Pine St
Abilene, TX 79601
Phone (325) 261-8883

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

Interoperability endpoints

  • Direct secure messaging: sthiberville@hmc.allscriptsdirect.net
  • Direct secure messaging: sunnie.thiberville.1@23308.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1841628385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4372",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINE ST STE 401A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012452",
            "telephone_number": "325-670-4000",
            "fax_number": "325-670-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBERVILLE",
        "first_name": "SUNNIE",
        "middle_name": "JO",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "709790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.