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PREVENTION PLUS OF THIBODAUX LLC
NPI 1285005967
Nurse Practitioner - Primary Care in Thibodaux, LA

Active since October 07, 2015CLIA 19D2103619 · Waiver
905 CANAL BLVD, THIBODAUX, LA 70301(985) 492-9100(985) 492-9102 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Jan 20, 2016 (2 updates tracked since 2016).

About Prevention Plus Of Thibodaux Llc NPPES

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

PREVENTION PLUS OF THIBODAUX LLC (NPI 1285005967) is a healthcare organization registered as a primary care in Thibodaux, Louisiana and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Krysten H Perque, Partner, as its authorized official.

NPPES Registry Identity

NPI1285005967
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePREVENTION PLUS OF THIBODAUX LLC
Location Address905 CANAL BLVDThibodaux, LA 70301-4505
Mailing AddressPo Box 1813Thibodaux, LA 70302-1813 · (985) 492-9100 · Fax (985) 492-9102
Phone(985) 492-9100
Fax(985) 492-9102
Organization SubpartNo
Authorized OfficialKrysten H PerquePartner · (985) 492-9100
Enumeration DateOctober 7, 2015
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1285005967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
905 CANAL BLVD, Thibodaux, LA 70301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2103619

Prevention Plus Of Thibodaux · Thibodaux, LA
Active · expires Oct 15, 2027
CLIA Number19D2103619
Laboratory TypeHealth Main. Organization
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorKrysten H. Perque
Laboratory Phone(985) 413-4264
Laboratory LocationPrevention Plus Of Thibodaux905 Canal Blvd, Thibodaux, LA 70301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KRYSTEN HYMEL PERQUE FNP
Nurse Practitioner (Family)
905 CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 492-9100

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 Prevention Plus Of Thibodaux LLC's NPI number?

The NPI number for Prevention Plus Of Thibodaux LLC is 1285005967. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Prevention Plus Of Thibodaux LLC located?

Prevention Plus Of Thibodaux LLC is located at 905 Canal Blvd, Thibodaux, LA 70301. The listed phone number is (985) 492-9100.

What is Prevention Plus Of Thibodaux LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Prevention Plus Of Thibodaux LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2103619) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prevention Plus Of Thibodaux LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Prevention Plus Of Thibodaux LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prevention Plus Of Thibodaux LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.