Active NPI
Comfort Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Shreveport, LA
National Provider Identifier
1134519044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP06051
- Legal business name
- COMFORT ANESTHESIA LLC
- Practice address
- 9423 Acadiana Place Blvd
Shreveport, LA 71115-3704 - Phone
- (318) 617-5563
- NPI assigned
- Jan 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Jeff Lewis, CRNA
- Title
- Crna
- Phone
- (318) 617-5563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP06051 | LA | Primary |
Addresses
Primary practice location
9423 Acadiana Place Blvd
Shreveport, LA 71115-3704
Mailing address
9423 Acadiana Place Blvd
Shreveport, LA 71115-3704
Phone (318) 617-5563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422489600000",
"number": "1134519044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9423 ACADIANA PLACE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153704",
"telephone_number": "318-617-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9423 ACADIANA PLACE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153704",
"telephone_number": "318-617-5563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JEFF",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "318-617-5563",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP06051",
"primary": true
}
],
"identifiers": [],
"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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.