Organization Active NPI

Iberia Anesthesia Associates, L.L.C.

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
National Provider Identifier
1114208949
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
IBERIA ANESTHESIA ASSOCIATES, L.L.C.
Practice address
2309 E Main St Ste 101
New Iberia, LA 70560-4063
Phone
(337) 364-3301
Fax
(337) 364-9689
NPI assigned
Sep 7, 2011
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tierney Beebe, RHIA
Title
Business Manager
Phone
33736643301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

2309 E Main St Ste 101
New Iberia, LA 70560-4063

Mailing address

2309 E Main St Ste 101
New Iberia, LA 70560-4063
Phone (337) 364-3301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000378 LA Part B Supplier - Clinic/Group Practice 4385818731 Receives reassigned benefits from 1 practitioner
Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory

Locations

2309 E Main St
Ste 101
New Iberia, LA 70560
Phone (337) 364-3301

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1114208949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST STE 101",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604063",
            "telephone_number": "337-364-3301",
            "fax_number": "337-364-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST STE 101",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604063",
            "telephone_number": "337-364-3301",
            "fax_number": "337-364-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA ANESTHESIA ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "TIERNEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "33736643301",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.