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MR. KEITH M. THIBAULT NP
NPI 1013078674
Nurse Practitioner in Oakland, CA

Active since December 13, 2006
275 W MACARTHUR, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Keith M. Thibault Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEITH M. THIBAULT NP (NPI 1013078674) is an individual nurse practitioner in Oakland, California, licensed in California (5122) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1013078674
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. KEITH M. THIBAULTCredential: NP
Location Address275 W MACARTHUROakland, CA 94611-5641
Mailing Address275 W MacarthurOakland, CA 94611-5641 · (510) 752-1000
Phone(510) 752-1000
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 14, 2014
✔ NPI 1013078674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 5122
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
275 W MACARTHUR, Oakland, CA 94611
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Other Identifiers 1

Medicare UPINQ34820CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS C. VAN DYKE MD
Psychiatry & Neurology (Psychiatry)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
SUZANNE P WHITCOMB PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
JENNIFER I. HARRIS MD
Emergency Medicine
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
MISS DENITZA V HRISTOVA PT
Physical Therapist
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNA WONG PSY
Psychologist (Clinical)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
CHEE C. CHOW MD
Internal Medicine (Rheumatology)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
DAVID B. POOR DDS
Dentist (Oral and Maxillofacial Surgery)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000
SALLY B. SLOME MD
Internal Medicine (Infectious Disease)
275 W MACARTHUR
OAKLAND, CA 94611
Alameda County (510) 752-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Thibault's NPI number?

The NPI number for Keith Thibault is 1013078674. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Keith Thibault located?

Keith Thibault practices at 275 W Macarthur, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Keith Thibault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Keith Thibault was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.