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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. ELIZABETH ANNE KIBODEAUX DO
NPI 1417887647
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since May 20, 2026PECOS Enrolled
7975 LAKE UNDERHILL RD STE 200, ORLANDO, FL 32822(407) 303-6830 Get Directions Write a Review

NPPES record added: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Anne Kibodeaux Do NPPES

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

DR. ELIZABETH ANNE KIBODEAUX DO (NPI 1417887647) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (UO11391) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1417887647
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ELIZABETH ANNE KIBODEAUXCredential: DO
Location Address7975 LAKE UNDERHILL RD STE 200Orlando, FL 32822-8204
Mailing Address7975 Lake Underhill Rd Ste 200Orlando, FL 32822-8204 · (407) 303-6830
Phone(407) 303-6830
Sole ProprietorNo
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1417887647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · UO11391
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.
7975 LAKE UNDERHILL RD STE 200, Orlando, FL 32822
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Secondary Practice Location 1

Location 12501 N Orange AveOrlando, FL 32804-4603 · Phone (407) 303-5600

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. Elizabeth Anne Kibodeaux Do 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.

NATALIE MARIE GALLAGHER DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-7133
DR. MARTIN TORRENTS D.O., MPH
Family Medicine
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (347) 331-6533
DR. OLIVER KENNETH BAYOUTH III DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830
JAY FELDMAN
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-8683
DR. SHING-YU LIN M.D.
Hospitalist
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830
DR. GIOVANNI JULIANO RODRIGUEZ DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-8659
BONA LEE DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-8110
DR. MICHAEL EA DO
Student in an Organized Health Care Education/Training Program
7975 LAKE UNDERHILL RD STE 200
ORLANDO, FL 32822
Orange County (407) 303-6830

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 Elizabeth Kibodeaux's NPI number?

The NPI number for Elizabeth Kibodeaux is 1417887647. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Elizabeth Kibodeaux located?

Elizabeth Kibodeaux practices at 7975 Lake Underhill Rd Ste 200, Orlando, FL 32822. The listed phone number is (407) 303-6830.

What is Elizabeth Kibodeaux's specialty?

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

Is Elizabeth Kibodeaux enrolled in Medicare?

Yes. Elizabeth Kibodeaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Kibodeaux was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.