Pediatrics
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1447854294 · enumerated 2020-11-23 · record updated 2025-03-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KIM BOUDREAUX, Contract Manager · (985) 493-4907
Other names: THIBODAUX REGIONAL PEDIATRIC CLINIC
Addresses and phones
- Practice location 604 N ACADIA RD STE 100, THIBODAUX, LA, 70301-4897 (985) 447-9045 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 5478, THIBODAUX, LA, 70302-5478 (985) 435-4831 Fax (985) 449-2513 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Family Medicine, Adolescent Medicine 207QA0000X
- Pediatrics 208000000X · Primary
- Pediatrics, Adolescent Medicine 2080A0000X
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Pediatrics 363LP0200X
In this directory
Locations and evidence
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Practice location
THIBODAUX, LA, 703014897
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.