Provider Profile

Kelly Thibault, CRNP

Unclaimed Profile

About Kelly Thibault

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Education & Training

School Other Graduated: 2012

Specialty

Nurse Practitioner — Pediatrics (Primary)
Nurse Practitioner — Pediatrics (Additional)

Credentials & Licensing

NJ license26NJ0048730
NY license382415
NPI1730597360
NPI issued07/28/2014

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kelly Thibault?

Kelly Thibault is a nurse practitioner in Newark, NJ. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Pediatrics”.

NPI registry

What is Kelly Thibault's address?

Kelly Thibault is listed at 201 Lyons Ave, Newark, NJ 07112. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kelly Thibault?

The number on file is (973) 926-7000. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Kelly Thibault's NPI number?

Kelly Thibault's National Provider Identifier is 1730597360. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kelly Thibault train?

Kelly Thibault attended Other, graduating in 2012. This comes from the CMS National Downloadable File.

CMS public data

How long has Kelly Thibault been practicing?

Kelly Thibault has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.

CMS public data

Has Kelly Thibault confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly Thibault. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.