Thibodaux Regional Network Development Corporation
NPI 1770241507ActiveOrganization· Internal Medicine· Thibodaux, LA
Internal Medicine in Thibodaux, Louisiana, registered in NPPES in November 2021. The authorized official on file is Kim Legendre Boudreaux, Contract Manager.
Overview
| NPI | 1770241507 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2021 |
| Last updated in NPPES | May 9, 2024 |
| Certified by provider | May 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Dietetic Technician, Registered | 136A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Internal Medicine providers in Thibodaux
- 1851833396
- 1720686785
- 1073157970
- 1124270749
- 1306125133
- 1316604762
- 1447701412
- 1669913943
- 1144607151
- 1700440997
- 1669996658
- 1699792564