LARA CORNELIA THIBODEAUX NP NPI 1902894595

NPI Information

NPI: 1902894595
Provider Name: LARA CORNELIA THIBODEAUX, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
808 W US HIGHWAY 79
2880
FRANKLIN, TX
ZIP 77856
Phone: (979) 282-4540
Get Directions

Lara Cornelia Thibodeaux, NP is a family nurse practitioner in Franklin, TX. Lara Cornelia Thibodeaux, NP NPI is 1902894595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

808 W US HIGHWAY 79
2880
FRANKLIN, TX
ZIP 77856
Phone: (979) 282-4540
Fax: (979) 828-3006

The NPI 1902894595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2005 and was last updated on 2/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	593517	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1841562451	OTHER	TEXAS	FACILITY NPI (SJHP FRANKLIN)
2	2952517-01	OTHER	TEXAS	BVCAA DBA ST,. JOSEPH HEALTH POINT FRANKLIN MEDICAID (PTAN) NUMBER
3	74-1715140	OTHER	TEXAS	BVCAA, INC. - TIN
4	67-1981	OTHER	TEXAS	BVCAA DBA: ST. JOSEPH HEALTH POINT FRANKLIN PTAN (MEDICARE NUMBER)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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