Individual provider Active NPI

Karly C Haik, CRNA

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
National Provider Identifier
1083685564
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP03827 Issued in LA
Practice address
301 Lucerne Dr
3M Anesthesia, LLC
New Iberia, LA 70563-8976
Phone
(337) 374-7632
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP03827 LA Primary

Addresses

Primary practice location

301 Lucerne Dr
3M Anesthesia, LLC
New Iberia, LA 70563-8976

Mailing address

301 Lucerne Dr
3M Anesthesia, LLC
New Iberia, LA 70563-8976
Phone (337) 374-7632

Other identifiers 1

IdentifierTypeStateIssuer
1107557MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000222 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052377603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2309 E Main St
Suite 101
New Iberia, LA 70560-4063
Phone (337) 364-3301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Anesthesia Associates, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2014 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2014 Accepting new patients
J Dauzart Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2015 Accepting new patients
Iberia Gastroenterology Associates, Inc. a Professional Medical Corpor CurrentSince Jun 2, 2014 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Sheridan Healthcare of Louisiana Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Anesthesia Specialists of Acadiana Past Accepting new patients

Locations

1101 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 233-8603

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2309 E Main St
Ste 101
New Iberia, LA 70560
Phone (337) 364-3301

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDFBA/Endpoint/HFDFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDFBA

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1083685564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LUCERNE DR",
            "address_2": "3M ANESTHESIA, LLC",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705638976",
            "telephone_number": "337-374-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LUCERNE DR",
            "address_2": "3M ANESTHESIA, LLC",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705638976",
            "telephone_number": "337-374-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIK",
        "first_name": "KARLY",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP03827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1107557",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.