Active NPI
Courtney N Goudeau, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP07621
- Practice address
- 651 North Bolton Avenue
Central Louisiana Surgical Hospital
Alexandria, LA 71301 - Phone
- (318) 443-3511
- Fax
- (318) 442-1586
- NPI assigned
- Jan 6, 2014
- Last updated
- May 23, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN122387 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP07621 | LA | Primary |
Addresses
Primary practice location
651 North Bolton Avenue
Central Louisiana Surgical Hospital
Alexandria, LA 71301
Mailing address
PO Box 8278
Red River Anesthesia of Alexandria
Alexandria, LA 71306
Phone (318) 484-5280
Other names 1
- Courtney Ryder
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1444 Peterman Dr
Alexandria, LA 71301-3432
Phone (318) 442-5399
651 N Bolton Ave
Alexandria, LA 71301-7449
Phone (318) 443-3511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN122387 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Louisiana Anesthesia Consultants, Apmc | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
3436 Masonic Dr
Alexandria, LA 71301
Phone (318) 427-6500
651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Central Louisiana Surgical Hospital
- General Acute Care Hospital
- Alexandria, LA
- NPI 1164750840
-
dba Rapides Regional Medical Center
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
-
dba HP Long Urgent Care-Pineville
- Multi-Specialty Clinic/Center
- Pineville, LA
- NPI 1083031413
Hospital
-
dba HP Long Urgent Care Clinic-Alexandria
- Urgent Care Clinic/Center
- Alexandria, LA
- NPI 1477970168
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1104248483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8278",
"address_2": "RED RIVER ANESTHESIA OF ALEXANDRIA",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71306",
"telephone_number": "318-484-5280",
"fax_number": "318-442-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 NORTH BOLTON AVENUE",
"address_2": "CENTRAL LOUISIANA SURGICAL HOSPITAL",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71301",
"telephone_number": "318-443-3511",
"fax_number": "318-442-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUDEAU",
"first_name": "COURTNEY",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN122387",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP07621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "RYDER",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.