Thibodaux Regional Network Development Corporation
NPI 1447701412 · Internal Medicine Physician · Thibodaux, LA
Provider details
- NPI number
- 1447701412
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Boudreaux, Director of Contracting(985) 493-4907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neonatal Nurse Practitioner363LN0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 Hospitalists
Registry dates
- Enumerated
- 2016-10-14
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.