DR. LARA GAINEY THIBODEAU MD
NPI 1316526320
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since April 06, 2021PECOS Enrolled
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lara Gainey Thibodeau Md NPPES

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

DR. LARA GAINEY THIBODEAU MD (NPI 1316526320) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316526320
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LARA GAINEY THIBODEAUCredential: MD
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111
Sole ProprietorNo
Enumeration DateApril 6, 2021
NPPES CertifiedApril 6, 2021
NPI 1316526320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2301 ERWIN RD, Durham, NC 27705

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lara Gainey Thibodeau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705

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 Lara Thibodeau's NPI number?

The NPI number for Lara Thibodeau is 1316526320. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Lara Thibodeau located?

Lara Thibodeau practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Lara Thibodeau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lara Thibodeau enrolled in Medicare?

Yes. Lara Thibodeau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Thibodeau was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.