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

Kaleb M Thibodeaux, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508664293

Kaleb M Thibodeaux, PMHNP is a Nurse Practitioner in Port Allen, Louisiana. Qualified in 2024, 2 years ago. Practices with Primary Care Providers for a Healthy Feliciana, Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2025
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

203 Allendale Dr
Port Allen, LA 70767-3219
Phone: (225) 389-1311
Fax: (225) 389-1330
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 239936 (LA)

Record details

NPI number1508664293
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Primary Care Providers For A Healthy Feliciana, Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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