Individual provider Active NPI

Pamela H Beach, CRNA

  • Certified Registered Nurse Anesthetist
  • West Monroe, LA
National Provider Identifier
1114011194
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP04609 Issued in LA
Practice address
1275 Glenwood Dr
West Monroe, LA 71291-5539
Phone
(318) 322-1339
NPI assigned
Oct 3, 2006
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 AP04609 LA Primary

Addresses

Primary practice location

1275 Glenwood Dr
West Monroe, LA 71291-5539

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822
Phone (318) 626-0287

Other practice location 1

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

Other identifiers 1

IdentifierTypeStateIssuer
1478776MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000200 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628015476 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brfhh Monroe LLCGroup PAC ID 0042446577, 17 clinicians

Practice addresses (Care Compare)

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iasis Glenwood Regional Medical Center LP CurrentSince Feb 1, 2016 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 1, 2025 Accepting new patients
M Kneeland LLC CurrentSince Mar 2, 2024 Accepting new patients
Orthomed Staffing LLC CurrentSince Sep 24, 2023 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 1, 2025 Accepting new patients
Endoscopy Center of Monroe CurrentSince Feb 1, 2023 Accepting new patients
Iasis Glenwood Regional Medical Center LP CurrentSince Feb 1, 2016 Accepting new patients
Smso Anesthesia, LLC CurrentSince Apr 3, 2023 Accepting new patients
Brfhh Monroe LLC CurrentSince May 22, 2023 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered Past Accepting new patients
Bayou Anesthesia Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

1601 Louisville Ave
Monroe, LA 71201
Phone (318) 998-5555

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

316 S 6th St
Monroe, LA 71201
Phone (318) 325-2634

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237

2480 Highway 33
Ruston, LA 71270
Phone (318) 224-2404

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

102 Thomas Rd
Ste 506
West Monroe, LA 71291
Phone (318) 388-6983

1275 Glenwood Dr
West Monroe, LA 71291
Phone (318) 322-1339

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

503 McMillan Rd
#35805
West Monroe, LA 71291

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1114011194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-626-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915539",
            "telephone_number": "318-322-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026400",
            "country_code": "US",
            "telephone_number": "318-330-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACH",
        "first_name": "PAMELA",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478776",
            "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 May 5, 2023; 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.