Thibodaux Regional Network Development Corporation
NPI 1396570511 · Family Medicine Physician · Thibodaux, LA
Thibodaux Regional Network Development Corporation is a Family Medicine Physician organization in Thibodaux, LA (NPI 1396570511).
Provider details
- NPI number
- 1396570511
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Boudreaux, Director of Contracting(985) 493-4907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Thibodaux Regional Family Medicine Clinic - Thibodaux
- Doing business as
- Thibodaux Regional Family Medicine Clinic - Thibodaux
Additional practice locations (1)
- 604 N Acadia RdSte 406aThibodaux, LA 70301-4897Phone: (985) 493-3034Fax: (985) 493-3035
Registry dates
- Enumerated
- 2024-09-06
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Thibodaux Regional Network Development Corporation's NPI number?
- Thibodaux Regional Network Development Corporation's National Provider Identifier (NPI) is 1396570511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thibodaux Regional Network Development Corporation?
- Thibodaux Regional Network Development Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thibodaux Regional Network Development Corporation located?
- Thibodaux Regional Network Development Corporation's practice location on file with NPPES is 400 N Acadia Rd, Thibodaux, LA 70301-4856.
- What is Thibodaux Regional Network Development Corporation's phone number?
- The practice phone number listed in the NPPES registry for Thibodaux Regional Network Development Corporation is (985) 493-3034.
- Who is the authorized official for Thibodaux Regional Network Development Corporation?
- The authorized official listed on Thibodaux Regional Network Development Corporation's NPPES record is Kim Boudreaux, Director of Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thibodaux Regional Network Development Corporation's NPI active?
- Yes — Thibodaux Regional Network Development Corporation's NPI (1396570511) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.