Active NPI
Justin Snowden, CRNA
- Certified Registered Nurse Anesthetist
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP03916
- Practice address
- 503 McMillan Rd
West Monroe, LA 71291-5327 - Phone
- (318) 323-8887
- Fax
- (847) 615-2858
- NPI assigned
- Jul 12, 2006
- 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 | AP03916 | LA | Primary |
Addresses
Primary practice location
503 McMillan Rd
West Monroe, LA 71291-5327
Mailing address
925 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (318) 323-8887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1109789 | Medicaid | LA |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760
Hospital & facility affiliations
- Fmol Health St Francis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03916 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smso Anesthesia, LLC | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Iasis Glenwood Regional Medical Center LP | Current | Accepting new patients | |
| Brfhh Monroe LLC | Current | Accepting new patients | |
| Iasis Glenwood Regional Medical Center LP | Current | Accepting new patients | |
| Twin City Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Twin City Anesthesia | Past | Accepting new patients |
Locations
2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237
1275 Glenwood Dr
West Monroe, LA 71291
Phone (318) 322-1339
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
503 McMillan Rd
#35805
West Monroe, LA 71291
Organizations & group practices 7
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
- Monroe, LA
- NPI 1730134636
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1811324882
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1487706214
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- West Monroe, LA
- NPI 1003961038
-
- Specialist
- West Monroe, LA
- NPI 1427080480
-
- Anesthesiology Physician
- West Monroe, LA
- NPI 1790903839
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1104841105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 SHERWOOD DR",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442203",
"telephone_number": "318-323-8887",
"fax_number": "847-615-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MCMILLAN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915327",
"telephone_number": "318-323-8887",
"fax_number": "847-615-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOWDEN",
"first_name": "JUSTIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP03916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1109789",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.