Kindalyn Thibeaux

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

F7T8N3M6 Issued in GA

Practice address

2036 Charter LN
Lithonia, GA 30058-8969

Phone

(404) 578-8881

NPI assigned

Aug 20, 2026

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

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1891601803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 CHARTER LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588969",
            "telephone_number": "404-578-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 CHARTER LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588969",
            "telephone_number": "404-578-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBEAUX",
        "first_name": "KINDALYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": "GA",
            "license": "F7T8N3M6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Other Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.