Jordan David Alleman, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Covington, LA
NPI 1104636265 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1104636265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 239493 (LA)
- Practice address
- 1202 S Tyler St
Covington, LA 70433-2330 - Phone
- (985) 898-4000
- NPI assigned
- Jan 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Anesthesia Care STPH LLC
Practice addresses (Care Compare)
1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4583
Hospital & facility affiliations
- St Tammany Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250205000104 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1759811862 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Anesthesia Care STPH, LLC | Current |
Accepting new patients |
Locations
120 Innwood Dr
Covington, LA 70433
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 239493 | LA | Yes |
Addresses
Primary practice location
1202 S Tyler St
Covington, LA 70433-2330
Mailing address
6002 Chateau Loire Cir
Mandeville, LA 70448-7053
Phone (985) 237-9020
Other providers in Covington, LA
- William John Alfred V
- Farah Ali
- Tracy T Aljabi
- All American Medical Equipment, LLC
- Beth Allbritton
- Alma Rivera-Levy, M.D., Apmc
- Ben A. Almerico
- Sandra R Almerico
- Nnanna Trevor Alozie
- Tara Steib Alston
All providers in Covington, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.