Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ginger Nichole Thibault

Individual provider Pediatric Nurse Practitioner · NPI 1679964019

Ginger Nichole Thibault is a Pediatric Nurse Practitioner in Round Rock, Texas. Works from 2 locations. Licensed in Oklahoma, Texas and Washington.

Licensed in
OK, TX, WA
In the registry since
2015
Specialties on file
4

Practice location Address checks out

425 University Blvd
Round Rock, TX 78665-1360
Phone: (512) 509-0200
Show map & directions

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

Additional practice locations (1)

  • 9040 Jackson Ave, Tacoma, WA 98431-4426 — (253) 968-2464

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1232486 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP61333001 (WA)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence R0077265 (OK)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence R0077265 (OK)

Record details

NPI number1679964019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2015
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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