Individual provider Active NPI

Katrina R O'Con, CRNA

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
National Provider Identifier
1124019476
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN077127/AP04177 Issued in LA
Practice address
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone
(318) 212-4220
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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 RN077127/AP04177 LA Primary

Addresses

Primary practice location

2600 Greenwood Rd
Shreveport, LA 71103-3908

Mailing address

9670 Calliope LN
Shreveport, LA 71115-4600
Phone (318) 798-6677

Other identifiers 1

IdentifierTypeStateIssuer
1147109MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000448 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486751443 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Health Northern LouisianaGroup PAC ID 8628980554, 25 clinicians
Willis Knighton Medical Center Inc Crna GroupGroup PAC ID 1759358674, 93 clinicians
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-6678

2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4000

651 N Bolton Ave
Alexandria, LA 71301-7449
Phone (318) 443-3511

8001 Youree Dr
Shreveport, LA 71115-2302
Phone (318) 212-3000

Hospital & facility affiliations

  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN077127/AP04177LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2010 Accepting new patients
Christus Health Northern Louisiana Nurse Anesthetist, Certified Registered Current Accepting new patients
Natchitoches Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2007 Accepting new patients
Medical Center Anesthesiologists CurrentSince Jul 30, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2025 Accepting new patients
Willis Knighton Medical Center Inc. Crna Group Nurse Anesthetist, Certified Registered CurrentSince May 6, 2019 Accepting new patients
Red River Anesthesia of Alexandria, LLC Past Accepting new patients
Med-Trans Corporation Past Accepting new patients

Locations

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800

445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1124019476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 CALLIOPE LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711154600",
            "telephone_number": "318-798-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033908",
            "telephone_number": "318-212-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CON",
        "first_name": "KATRINA",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN077127/AP04177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1147109",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.