Active NPIIndividual providerSole proprietor

Kelli N Thibedeau, PA

Physician Assistant in Weymouth, Massachusetts

NPI Number1346601911
Practice location
851 Main St, Suite 11, Brigham And Women'S Neurosurgery, Weymouth, MA 02190-1612
Fax
781-340-0231
Last updated
July 21, 2023

Kelli N Thibedeau is a Physician Assistant based in Weymouth, MA. Kelli N Thibedeau practices in Weymouth, MA and has the professional credentials of PA. The NPI Number for Kelli N Thibedeau is 1346601911. The current practice location address for Kelli N Thibedeau is 851 Main St, Suite 11, Brigham And Women'S Neurosurgery, Weymouth, MA 02190-1612 and can be reached out via phone at 781-331-4923 and via fax at 781-340-0231.

Provider Profile Details

NPI Number
1346601911
Provider Name
Kelli N Thibedeau
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
851 Main St, Suite 11, Brigham And Women'S Neurosurgery, Weymouth, MA 02190-1612
Phone Number
781-331-4923
Fax Number
781-340-0231
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 10, 2016
Last Update Date
July 21, 2023
Certification Date
July 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
851 Main St
Suite 11, Brigham And Women'S Neurosurgery
Weymouth, MA 02190-1612
Zip
02190-1612
Phone Number
781-331-4923
Fax Number
781-340-0231
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
51 Performance Drive
Brigham Surgical Associates, Suite 300
Weymouth, MA 02189
City
Weymouth
State
MA
Zip
02189
Phone Number
781-624-4943

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelli N Thibedeau, PA?

The NPI number of Kelli N Thibedeau, PA is 1346601911. It was assigned on March 10, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelli N Thibedeau, PA?

Kelli N Thibedeau, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Kelli N Thibedeau, PA practice?

The practice location is 851 Main St, Suite 11, Brigham And Women'S Neurosurgery, Weymouth, MA 02190-1612. The office can be reached at 781-331-4923 (phone) or 781-340-0231 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346601911 directly on the NPPES registry website.

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