Charlene V Brouillette, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP02363 Issued in LA

Practice address

5024 Toby LN
Kenner, LA 70065-3262

Phone

(504) 456-9958

Fax

(504) 779-6769

NPI assigned

Jan 30, 2006

Last updated

Sep 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Childrens Hospital Anesthesia Corporation

  dba LCMC Anesthesia

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1649362740
  Medicare reassignment NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458
  Medicare reassignment
• Physicians Medical Center, LLC

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1477509859
  NPD
• Dr Wadhwa & Dr Oberoi LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1639188923
  NPD (past)
• Eyecare Providers, LLC

  dba Eyecare Associates

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1356505861
  NPD (past)
• Firas Hijazi MD Apmc

  • Interventional Pain Medicine Physician
  • La Place, LA
  • NPI 1740495829
  NPD (past)
• Jorge J Bravo MD a Professional Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1801804646
  NPD (past)
• Tuhc Anesthesiology Group LLC

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1760435432
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1033180997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 TOBY LN",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653262",
            "telephone_number": "504-456-9958",
            "fax_number": "504-779-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 TOBY LN",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653262",
            "telephone_number": "504-456-9958",
            "fax_number": "504-779-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLETTE",
        "first_name": "CHARLENE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP02363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905356",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brien Chiropractic Clinic of Kenner
• Cody Brignac, DDS
• Genevieve Maria Brilli, MMS, PA-C
• Gerard M Britsch, PT LMT
• Caroline Eliza Brock
• Amber Bourgeois Broussard, PHARM. D.
• Samuel Y Brown, MD
• Michael Brunet, CSFA
• Jessica Buchanan
• Olivia Catherine Burns

• Certified Registered Nurse Anesthetist in Kenner, LA
• Providers in Kenner, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.