Active NPI
Steven Jess Mandell, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN058859
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (504) 779-5515
- NPI assigned
- Jun 23, 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 | RN058859 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN058859 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Campbell Anesthesia Group, PLLC | Current | Accepting new patients | |
| Digestive & Liver Center, PA | Current | Accepting new patients | |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients | |
| Parish Anesthesia of Lafayette, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sheridan Anesthesia Services of Louisana Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Pioneer Anesthesia and Pain Associates, L.L.C. | Past | Accepting new patients | |
| Parish Anesthesia Endoscopy of Lafayette, LLC | Past | Accepting new patients |
Locations
8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519
2220 Pease St
#C
Harlingen, TX 78550
Phone (956) 389-6000
3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909
1438 Campbell Rd
Ste 104
Houston, TX 77055
Phone (713) 464-1650
19502 McKay Dr
Ste 101
Humble, TX 77338
Phone (281) 312-6900
109 Parking Way St
Lake Jackson, TX 77566
Phone (979) 292-0033
8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232
17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600
Organizations & group practices 9
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.
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-
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-
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-
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- Pain Medicine (Anesthesiology) Physician
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- NPI 1912058215
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Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1124054192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "504-779-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDELL",
"first_name": "STEVEN",
"middle_name": "JESS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN058859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.