Individual provider Active NPI

Angela W Kilbourn, CRNA

  • Certified Registered Nurse Anesthetist
  • Kenner, LA
National Provider Identifier
1003129297
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP07383 Issued in LA
Practice address
180 W Esplanade Ave
Kenner, LA 70065-2467
Phone
(504) 842-3755
Fax
(504) 842-2036
NPI assigned
Jul 16, 2010
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 9311377 FL
Certified Registered Nurse Anesthetist 367500000X AP07383 LA Primary

Addresses

Primary practice location

180 W Esplanade Ave
Kenner, LA 70065-2467

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3755

Other names 1

  • Angela W Fontana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100915000422 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850416793 Reassigns benefits to 6 organizations
I20140311000276 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850416793 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1325 Belcher Rd
Palm Harbor, FL 34683-6739
Phone (816) 500-0021

63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 9311377FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 24, 2014 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 1, 2014 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 30, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 24, 2014 Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 29, 2022 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 1, 2014 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Jun 29, 2022 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Outpatient Eye Surgery Center Past Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients

Locations (25 of 47)

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

2830 University Pkwy
Sarasota, FL 34243
Phone (513) 410-0103

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

6918 Gunn Hwy
Tampa, FL 33625
Phone (813) 543-0800

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050

42078 Veterans Ave
Ste G
Hammond, LA 70403
Phone (985) 542-7177

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/71db284b-f315-4638-addc-f58faa7c70f7/

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1003129297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-842-3755",
            "fax_number": "504-842-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBOURN",
        "first_name": "ANGELA",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9311377",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP07383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FONTANA",
            "middle_name": "W",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.