Active NPI
Nathaniel J Dennis, CRNA
- Certified Registered Nurse Anesthetist
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP03194
- Practice address
- 424 W McNeese St
Suite L
Lake Charles, LA 70605-5547 - Phone
- (337) 478-0511
- Fax
- (337) 478-5644
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | AP03194 | LA | Primary |
Addresses
Primary practice location
424 W McNeese St
Suite L
Lake Charles, LA 70605-5547
Mailing address
424 W McNeese St
Lake Charles, LA 70605-5547
Phone (337) 478-0511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1536211 | Medicaid | LA | |
| 430043352 | Other | LA | RAILROAD MEDICARE PIN |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
524 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone (337) 436-2511
600 S Pine St
Beauregard Memorial Hospital
Deridder, LA 70634-4942
Phone (337) 462-7127
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03194 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Charles Anesthesiology, Apmc | Anesthesiology | Current | Accepting new patients |
| Texas Children'S Physician Group | Past | Accepting new patients |
Locations
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
751 Bayou Pines East Dr
Ste L
Lake Charles, LA 70601
Phone (337) 436-8700
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Organizations & group practices 3
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
- Lake Charles, LA
- NPI 1588674790
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Hospital
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Hospital
-
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1548796378
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1710191473
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1124008206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055547",
"telephone_number": "337-478-0511",
"fax_number": "337-478-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W MCNEESE ST",
"address_2": "SUITE L",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055547",
"telephone_number": "337-478-0511",
"fax_number": "337-478-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "NATHANIEL",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP03194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1536211",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "430043352",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.