Alisa Thibodeaux
Case Manager/Care Coordinator in Bossier City, LA. Individual provider (NPI-1).
NPI number1144690272
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1144690272
- Entity type
- Individual (NPI-1)
- Name
- Alisa Thibodeaux
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2015
- Certification date
- Nov 14, 2022
- Last updated
- Nov 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1808 Lee StBossier City, LA 71112-2024
Phone 318-934-2278
Mailing address
1808 Lee StBossier City, LA 71112-2024
Phone 318-934-2278
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 252 Case Manager/Care Coordinator providers in Bossier City · All 1,861 providers in Bossier City
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