Candace M Funderburk, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Florien, LA
NPI 1003047804 · NPPES record last updated Apr 3, 2015
Key facts
- NPI
- 1003047804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 074290 (LA)
- Practice address
- 881 Dess Rd
Florien, LA 71429-4267 - Phone
- (318) 586-4621
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 21
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Youngs Professional Services LLC
Willis Knighton Medical Center Inc Crna Group
Practice addresses (Care Compare)
1100 Andre St
New Iberia, LA 70563-2159
Phone (337) 365-6591
1204 N Mound St
Yps Anesthesia Services
Nacogdoches, TX 75961-4027
Phone (855) 300-7525
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000
651 N Bolton Ave
Alexandria, LA 71301-7449
Phone (318) 443-3511
700 W Grove St
Medical Center of South Arkansas
El Dorado, AR 71730-4416
Phone (870) 863-2000
Hospital & facility affiliations
- Willis Knighton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in LA, TX, AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423001459 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325366396 | Reassigns benefits to 12 organizations |
| I20161018000921 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325366396 | Reassigns benefits to 6 organizations |
| I20200915003774 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325366396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074290 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Tandem Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Shreveport Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Deep East Texas Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Mid-Louisiana Anesthesia Consultants, Apmc | Current |
Accepting new patients | |
| Medical Center Anesthesiologists | Current |
Accepting new patients | |
| University Health Shreveport LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Christus Health Northern Louisiana | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Natchitoches Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Christus Health Northern Louisiana | Current |
Accepting new patients | |
| Novus Louisiana Medical Professional Corporation | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Texas Anesthesia Partners, PLLC | Current |
Accepting new patients | |
| Texas Anesthesia Partners | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University Health Shreveport LLC | Current |
Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current |
Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Candace M Funderburk | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients |
Locations (25 of 49)
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
3220 N St NW
Washington, DC 20007
Phone (202) 338-6051
1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
200 Greenleaves Blvd
Ste 6
Mandeville, LA 70448
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130
1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
708 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 210-3315
3217 Mabel St
Shreveport, LA 71103
700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102
5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856
1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000
704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/12e6e189-04bb-431f-917c-32d5c1bc83d5/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 074290 | LA | Yes |
Addresses
Primary practice location
881 Dess Rd
Florien, LA 71429-4267
Mailing address
881 Dess Rd
Florien, LA 71429-4267
Phone (318) 586-4621
Other providers in Florien, LA
- Candace M Funderburk
- Shanna K Legier
- Cissy Matthews
- Korie Matthews
- Ella Mitchell
- Prospec Coaching and Consulting, L3C
All providers in Florien, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.