Active NPI
Calvin Luke Ivie, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 234279
- Practice address
- 211 4TH St
Alexandria, LA 71301-8421 - Phone
- (318) 442-5399
- Fax
- (318) 442-1586
- NPI assigned
- Jan 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 234279 | LA | Primary |
Addresses
Primary practice location
211 4TH St
Alexandria, LA 71301-8421
Mailing address
PO Box 5887
Alexandria, LA 71307-5887
Phone (318) 442-5399
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, 2023
- 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
Hospital & facility affiliations
- Rapides Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Louisiana Anesthesia Consultants, Apmc | Current | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1104696574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5887",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713075887",
"telephone_number": "318-442-5399",
"fax_number": "318-442-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 4TH ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713018421",
"telephone_number": "318-442-5399",
"fax_number": "318-442-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVIE",
"first_name": "CALVIN",
"middle_name": "LUKE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "234279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 6, 2024; 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.