Kelly Thibault, CRNP

Individual Active
NPI 1730597360
Pediatric Nurse Practitioner Newark, NJ

Kelly Thibault, CRNP is a pediatric nurse practitioner practicing in Newark, NJ. The NPI was issued on July 28, 2014, and the record was last updated in NPPES on August 26, 2025. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 26NJ0048730 (NJ)
Pediatric Nurse Practitioner 363LP0200X 382415 (NY)

Practice locations

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7000
3601 A St
Philadelphia, PA 19134-1043
Phone: (215) 427-5000

Local context

Active NPPES records list 1,072 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 103 of them within 10 miles.

The same primary taxonomy is listed by 500 in New Jersey and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kelly Thibault
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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