Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nichole R Thibodeaux, PA-C

Individual provider Medical Physician Assistant · NPI 1083010052

Nichole R Thibodeaux, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2013, 13 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Texas.

Years since qualifying
13
Licensed in
CO, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1900 N Loop W Ste 580
Houston, TX 77018-8163
Phone: (713) 714-5376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8565 Poplar Way, Highlands Ranch, CO 80130-3602 — (720) 348-2800
  • 11960 Lioness Way Ste 210, Parker, CO 80134-5644 — (303) 695-6106

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA13619 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0003820 (CO)

Record details

NPI number1083010052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2014
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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