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

Blake Larose, FNP

Individual provider Family Nurse Practitioner · NPI 1366129769

Blake Larose, FNP is a Nurse Practitioner in Thibodaux, Louisiana. Qualified in 2023, 3 years ago. Practices with Thibodaux Regional Network Development Corporation, a 135-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

400 N Acadia Rd
Thibodaux, LA 70301-4856
Phone: (985) 493-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201963 (LA)

Record details

NPI number1366129769
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Thibodaux Regional Network Development Corporation — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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