Active NPIIndividual provider

Adrienne Thibodeau, PA-C

Physician Assistant, Surgical in Longmeadow, Massachusetts

NPI Number1780069310
Practice location
722 Bliss RD, Longmeadow, MA 01106-1557
Fax
—
Last updated
July 6, 2026

Adrienne Thibodeau is a Physician Assistant, Surgical based in Longmeadow, MA. Adrienne Thibodeau practices in Longmeadow, MA and has the professional credentials of PA-C. The NPI Number for Adrienne Thibodeau is 1780069310 and holds a License No. PA5482 (MA). The current practice location address for Adrienne Thibodeau is 722 Bliss RD, Longmeadow, MA 01106-1557 and can be reached out via phone at 413-561-7468.

Provider Profile Details

NPI Number
1780069310
Provider Name
Adrienne Thibodeau
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
722 Bliss RD, Longmeadow, MA 01106-1557
Phone Number
413-561-7468
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Adrienne Boyer, PA-C (Former Name)
Provider Enumeration Date
July 24, 2015
Last Update Date
July 6, 2026
Certification Date
July 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
722 Bliss RD
Longmeadow, MA 01106-1557
Zip
01106-1557
Phone Number
413-561-7468
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
12 Cherry Brook Ln
Suffield, CT 06078-1039
City
Suffield
State
CT
Zip
06078-1039
Phone Number
860-810-4980

License Information

License Number
PA5482
License State
MA
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 Adrienne Thibodeau, PA-C?

The NPI number of Adrienne Thibodeau, PA-C is 1780069310. It was assigned on July 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Adrienne Thibodeau, PA-C?

Adrienne Thibodeau, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA5482.

Where does Adrienne Thibodeau, PA-C practice?

The practice location is 722 Bliss RD, Longmeadow, MA 01106-1557. The office can be reached at 413-561-7468 (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 1780069310 directly on the NPPES registry website.

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