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

Kandice Marie Thibodeaux

Individual provider Hospitalist Physician · NPI 1740541309

Kandice Marie Thibodeaux is an Internal Medicine in Lafayette, Louisiana. Qualified in 2012, 14 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone: (337) 470-4605
Fax: (337) 470-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD.207913 (LA)
Hospitalist Physician Taxonomy 208M00000X · Licence 207913 (LA)

Record details

NPI number1740541309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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