Active NPI
Bonnie Angus Doubleday, CRNA
- Certified Registered Nurse Anesthetist
- New Orleans, LA
National Provider Identifier
1053536649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP01600
- Practice address
- 1415 Tulane Ave
HC 71
New Orleans, LA 70112-2600 - Phone
- (504) 988-5800
- NPI assigned
- Apr 17, 2007
- Last updated
- Nov 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP01600 | LA | Primary |
| Registered Nurse | 163W00000X | RN025068 | LA |
Addresses
Primary practice location
1415 Tulane Ave
HC 71
New Orleans, LA 70112-2600
Mailing address
61 Chateau Dulac
Kenner, LA 70065-2060
Phone (504) 469-4308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00391825 | Other | GA | RAILROAD MEDICARE |
| 1959162 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP01600 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Eye Surgery Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Metairie, LA
- NPI 1164597761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195257600000",
"number": "1053536649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CHATEAU DULAC",
"city": "KENNER",
"state": "LA",
"postal_code": "700652060",
"telephone_number": "504-469-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "HC 71",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUBLEDAY",
"first_name": "BONNIE",
"middle_name": "ANGUS",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP01600",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN025068",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00391825",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1959162",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.