Active NPI
Patrick B Dauterive Jr., CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 852982
- Practice address
- 2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- NPI assigned
- Feb 1, 2013
- Sex
- Male
- 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 | AP07170 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 852982 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Phone (713) 620-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 W Esplanade Ave
Ochsner Clinic Kenner
Kenner, LA 70065-2467
Phone (504) 842-4000
Hospital & facility affiliations
- Ochsner Medical Center-Kenner
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07170 | LA | MD | Certified Registered Nurse Anesthetist |
| 852982 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
1221 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4600
2820 Napoleon Ave
Ste 650
New Orleans, LA 70115
Phone (504) 899-1114
1514 Jefferson Hwy
New Orleans, LA 70121
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Marrero, LA
- NPI 1336348382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1053650671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE. 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE. 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUTERIVE",
"first_name": "PATRICK",
"middle_name": "B",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP07170",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "852982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.