Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Childers Thibodeaux

Individual provider Family Nurse Practitioner · NPI 1750232708

Amanda Childers Thibodeaux is a Nurse Practitioner in Madisonville, Louisiana. Qualified in 2025, 1 year ago. Licensed in Louisiana and Mississippi.

Years since qualifying
1
Licensed in
LA, MS
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1053 Deer Park Dr
Madisonville, LA 70447-3254
Phone: (601) 807-6374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 245450 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 908144 (MS)

Record details

NPI number1750232708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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