Individual provider Active NPI

Kylie Young Thibodeaux, WHNP-BC

  • Women's Health Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1992092019
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP06541 Issued in LA
Practice address
1270 Attakapas Dr Ste 402
Opelousas, LA 70570-6557
Phone
(337) 948-4030
Fax
(888) 720-0474
NPI assigned
Jul 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP06541 LA Primary

Addresses

Primary practice location

1270 Attakapas Dr Ste 402
Opelousas, LA 70570-6557

Mailing address

1270 Attakapas Dr Ste 402
Opelousas, LA 70570-6557
Phone (337) 948-4030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110812000194 LA Practitioner - Nurse Practitioner 7517136328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Practitioners LLCGroup PAC ID 4587924188, 16 clinicians
Damian Badeaux MDGroup PAC ID 2769968312, 2 clinicians
Vital Healthcare Solutions LLCGroup PAC ID 9133598055, 14 clinicians

Practice addresses (Care Compare)

1119 Prudhomme Cir
Suite F
Opelousas, LA 70570-6516
Phone (337) 447-4027

1270 Attakapas Dr
Suite 402
Opelousas, LA 70570-6557
Phone (337) 948-4030

724 W Magnolia St
Ville Platte, LA 70586-4320
Phone (337) 506-2294

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06541LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Damian Badeaux MD CurrentSince Dec 30, 2025 Accepting new patients
Acadiana Practitioners LLC CurrentSince Apr 1, 2022 Accepting new patients
Vital Healthcare Solutions LLC CurrentSince Dec 1, 2025 Accepting new patients
Acadiana Practitioners LLC Current Accepting new patients
Acadiana Practitioners LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

3448 Highway 190
Eunice, LA 70535
Phone (337) 546-6237

1119 Prudhomme Cir
Opelousas, LA 70570
Phone (337) 447-4027

1270 Attakapas Dr
Ste 402
Opelousas, LA 70570
Phone (337) 594-3915

1119 Prudhomme Cir
#F
Opelousas, LA 70570

1119 Prudhomme Cir
Ste F
Opelousas, LA 70570
Phone (337) 942-5899

414 Saizan Ave
Port Barre, LA 70577
Phone (337) 447-4027

Organizations & group practices 5

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 2

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": "1310256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1992092019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR STE 402",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706557",
            "telephone_number": "337-948-4030",
            "fax_number": "888-720-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ATTAKAPAS DR STE 402",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706557",
            "telephone_number": "337-948-4030",
            "fax_number": "888-720-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "KYLIE",
        "middle_name": "YOUNG",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-10",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP06541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.