Faith Alice Thibodeau, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D171 Issued in ME

Practice address

7 Simpson Rd
Saco, ME 04072-9554

Phone

(207) 284-4537

Fax

(207) 284-4537

NPI assigned

Aug 7, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1982613725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SIMPSON RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729554",
            "telephone_number": "207-284-4537",
            "fax_number": "207-284-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SIMPSON RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729554",
            "telephone_number": "207-284-4537",
            "fax_number": "207-284-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "FAITH",
        "middle_name": "ALICE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "D171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "001056",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7773372",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8760206",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00300632",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne M Tetreault, MD
• Thayer McCain
• The SLP by the Sea
• Therrien Ave LLC
• Beth Thibault, LCPC
• Brandy L Thompson, ATC
• Emily Thompson, LCSW
• Lynn M Tijssen, LCPC,LADC,ACS
• Diane J Tinkham, LCPC
• Alyssa Totzke, DPT

• Registered Dietitian in Saco, ME
• Providers in Saco, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.