Individual provider Active NPI

Heather Dianne Duty, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
National Provider Identifier
1144323726
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP02864 Issued in LA
Practice address
312 Grammont St Ste 101
Monroe, LA 71201-7403
Phone
(318) 998-6129
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 725913 TX
Certified Registered Nurse Anesthetist 367500000X RN070024 LA
Certified Registered Nurse Anesthetist 367500000X AANA046978 TX
Certified Registered Nurse Anesthetist 367500000X AP02864 LA Primary

Addresses

Primary practice location

312 Grammont St Ste 101
Monroe, LA 71201-7403

Mailing address

115 Raymond Dr
Monroe, LA 71203-2432
Phone (318) 343-8047

Other practice location 1

2408 Broadmoor Blvd
Monroe, LA 71201-4887
Phone (318) 998-6129

Other identifiers 1

IdentifierTypeStateIssuer
1690601MedicaidLA

Other names 1

  • Heather Duty Lemaire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP02864LAMDCertified Registered Nurse Anesthetist
725913TXMDCertified Registered Nurse Anesthetist
AANA046978TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Jul 1, 2021 Accepting new patients
Endoscopy Center of Monroe CurrentSince Nov 15, 2018 Accepting new patients
Brfhh Monroe LLC CurrentSince Feb 18, 2016 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered PastSince Mar 5, 2012 Accepting new patients
Twin City Anesthesia Past Accepting new patients
Fontenot & McIntosh, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

316 S 6th St
Monroe, LA 71201
Phone (318) 325-2634

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144323726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RAYMOND DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032432",
            "telephone_number": "318-343-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST STE 101",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017403",
            "telephone_number": "318-998-6129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Broadmoor Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712014887",
            "country_code": "US",
            "telephone_number": "318-998-6129",
            "fax_number": "318-812-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTY",
        "first_name": "HEATHER",
        "middle_name": "DIANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "725913",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN070024",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AANA046978",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP02864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1690601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LEMAIRE",
            "middle_name": "DUTY",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.