1. Home
  2. Directory
  3. Louisiana
  4. Thibodaux
  5. Internal Medicine
  6. NPI Profile

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1487511150
Internal Medicine - Nephrology in Thibodaux, LA

Active since January 06, 2026
604 N ACADIA RD, STE 410 - NEPHROLOGY, THIBODAUX, LA 70301(985) 493-4087(985) 493-4088 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Jun 1, 2026, Jan 6, 2026 (3 updates tracked since 2026).

About Thibodaux Regional Network Development Corporation NPPES

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

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI 1487511150) is a healthcare organization registered as a nephrology in Thibodaux, Louisiana and active in the NPI registry since January 2026. The organization maintains a secondary practice location in Thibodaux and lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1487511150
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Location Address604 N ACADIA RD, STE 410 - NEPHROLOGYThibodaux, LA 70301-4955
Mailing Address602 N Acadia RdThibodaux, LA 70301-4823 · (985) 493-4907 · Fax (985) 449-2585
Phone(985) 493-4087
Fax(985) 493-4088
Organization SubpartYes
Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907
Enumeration DateJanuary 6, 2026
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1487511150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
604 N ACADIA RD, Thibodaux, LA 70301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1604 N Acadia Rd, STE 405 - NEPHROLOGYThibodaux, LA 70301-4897 · Phone (985) 493-4087 · Fax (985) 493-4088

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thibodaux Regional Network Development Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

179

Medicare enrollment records show 179 clinicians reassign Medicare billing to Thibodaux Regional Network Development Corporation, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 81 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Nurse Practitioner36
Certified Registered Nurse Anesthetist (CRNA)32
Obstetrics/Gynecology15
Family Practice10
Anesthesiology8
Cardiovascular Disease (Cardiology)8
Internal Medicine8
Diagnostic Radiology7
22 other specialties55

Nearest to this location (20)

See all 179
Jennifer Atkins, M.D.
Pediatric Medicine
NPI 1457679300
604 N ACADIA RD STE 100
Thibodaux, LA 70301
(985) 447-9045
✔ PECOSSame address
Jonathan Babin, M.D.
General Surgery
NPI 1528329950
604 N ACADIA RD STE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOS✔ Accepts MedicareSame address
Bradley Ber, MD
Family Practice
NPI 1063092351
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
John Bloss, M.D.
Obstetrics/Gynecology
NPI 1841394285
604 N ACADIA RD STE 500
Thibodaux, LA 70301
(985) 448-1216
✔ PECOS✔ Accepts MedicareSame address
Dedric Clarke, MD
Cardiac Electrophysiology
NPI 1508056441
602 N. ACADIA ROAD SUITE 101
Thibodaux, LA 70301
(985) 493-4993
✔ PECOS✔ Accepts MedicareSame address
Catherine Diebold, M.D.
Obstetrics/Gynecology
NPI 1649381617
604 N ACADIA RD STE 500
Thibodaux, LA 70301
(985) 448-1216
✔ PECOS✔ Accepts MedicareSame address
Nicole Dominique-Branley, MD
Pediatric Medicine
NPI 1104405216
604 N ACADIA RD STE 100
Thibodaux, LA 70301
(985) 447-9045
✔ PECOSSame address
Felicite' Duet
Nurse Practitioner
NPI 1356285225
602 N ACADIA RD
Thibodaux, LA 70301
(985) 791-6311
✔ PECOSSame address
Chad Dugas, M.D.
Cardiovascular Disease (Cardiology)
NPI 1306004841
602 N ACADIA RD STE 101
Thibodaux, LA 70301
(985) 493-4993
✔ PECOS✔ Accepts MedicareSame address
Trisha Folse, WHNP,MSN
Nurse Practitioner
NPI 1669583688
604 N ACADIA RD STE 500
Thibodaux, LA 70301
(985) 448-1216
✔ PECOS✔ Accepts MedicareSame address
Mark Hebert, MD
General Surgery
NPI 1801884812
604 N ACADIA RD SUITE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOS✔ Accepts MedicareSame address
Ranese Jeffery, MD
Internal Medicine
NPI 1700440997
602 N ACADIA RD
Thibodaux, LA 70301
(985) 447-5500
✔ PECOS✔ Accepts MedicareSame address
Brian Marino, MD
General Surgery
NPI 1750379814
604 N ACADIA RD SUITE 207
Thibodaux, LA 70301
(985) 446-1763
✔ PECOS✔ Accepts MedicareSame address
Brian Parker, M.D.
Pulmonary Disease
NPI 1326208232
604 N ACADIA RD STE 411
Thibodaux, LA 70301
(985) 493-4933
✔ PECOS✔ Accepts MedicareSame address
David Patten, M.D.
Pulmonary Disease
NPI 1841463114
604 N ACADIA RD STE 411
Thibodaux, LA 70301
(985) 493-4933
✔ PECOS✔ Accepts MedicareSame address
Nicole Prosperie, MD
Obstetrics/Gynecology
NPI 1225229552
604 N ACADIA RD STE 500
Thibodaux, LA 70301
(985) 448-1216
✔ PECOS✔ Accepts MedicareSame address
Samuel Seyler, M.D.
Pulmonary Disease
NPI 1376923615
604 N ACADIA RD STE 411
Thibodaux, LA 70301
(985) 493-4933
✔ PECOS✔ Accepts MedicareSame address
Meagan Smith, M.D.
Pediatric Medicine
NPI 1700319969
604 N ACADIA RD SUITE 100
Thibodaux, LA 70301
(985) 447-9045
✔ PECOSSame address
Brittany Wyger, MD
Family Practice
NPI 1871849620
604 N ACADIA RD STE 406
Thibodaux, LA 70301
(985) 493-4146
✔ PECOS✔ Accepts MedicareSame address
Jared Gilmore, MD
Cardiovascular Disease (Cardiology)
NPI 1083685770
604 N ACADIA RD STE 409
Thibodaux, LA 70301
(985) 449-4670
✔ PECOS✔ Accepts MedicareSame address
See all 179 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Thibodaux Regional Network Development Corporation's NPI number?

The NPI number for Thibodaux Regional Network Development Corporation is 1487511150. It was assigned to this organization in the NPPES registry on January 6, 2026.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 604 N Acadia Rd Ste 410 - Nephrology, Thibodaux, LA 70301. The listed phone number is (985) 493-4087.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thibodaux Regional Network Development Corporation enrolled in Medicare?

Yes. Thibodaux Regional Network Development Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thibodaux Regional Network Development Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 30 Medicare specialties reassign their Medicare billing to Thibodaux Regional Network Development Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32) and Obstetrics/Gynecology (15). Of these, 23 practice at this address and 81 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thibodaux Regional Network Development Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation 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 Thibodaux Regional Network Development Corporation was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.