Kelly Thibault, CRNP
Nurse Practitioner, Pediatrics in Newark, New Jersey
1730597360- Practice location
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone
- 973-926-7000
- Fax
- —
- Last updated
- August 26, 2025
Kelly Thibault is a Nurse Practitioner, Pediatrics based in Newark, NJ. Kelly Thibault practices in Newark, NJ and has the professional credentials of CRNP. The NPI Number for Kelly Thibault is 1730597360 and holds a License No. 382415 (NY). The current practice location address for Kelly Thibault is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7000.
Provider Profile Details
- NPI Number
- 1730597360
- Provider Name
- Kelly Thibault
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 Lyons Ave, Newark, NJ 07112-2027
- Phone Number
- 973-926-7000
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 28, 2014
- Last Update Date
- August 26, 2025
- Certification Date
- August 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Lyons Ave
Newark, NJ 07112-2027 - City
- Newark
- State
- New Jersey
- Zip
- 07112-2027
- Phone Number
- 973-926-7000
Provider Business Mailing Address Details
- Address
- 60 Oak Pl
Fair Haven, NJ 07704-3510 - City
- Fair Haven
- State
- NJ
- Zip
- 07704-3510
- Phone Number
- 732-768-7857
License Information
- License Number (1)
- 382415
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Pediatrics · 363LP0200X
- License Number (2)
- 26NJ0048730
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near Newark, NJ
View all Nurse Practitioner, Pediatrics providers in Newark →- Amalia Zuna, DNP, CPNP-AC/PCNurse Practitioner, Pediatrics · NPI 1003628231
- Anoush M Essajanian, CPNPNurse Practitioner, Pediatrics · NPI 1649918624
- Bethany L Falandes, APNNurse Practitioner, Pediatrics · NPI 1407324403
- Cathleen Cahill, APNNurse Practitioner, Pediatrics · NPI 1851598569
- Charmane Calilap-Bernardo, PNPC-PCNurse Practitioner, Pediatrics · NPI 1801112552
- Cheryl Apel, APNNurse Practitioner, Pediatrics · NPI 1942406384
Frequently Asked Questions
What is the NPI number of Kelly Thibault, CRNP?
The NPI number of Kelly Thibault, CRNP is 1730597360. It was assigned on July 28, 2014 and is currently active in the NPPES registry.
What is the specialty of Kelly Thibault, CRNP?
Kelly Thibault, CRNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NY under license number 382415.
Where does Kelly Thibault, CRNP practice?
The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7000 (phone).
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 1730597360 directly on the NPPES registry website.