Active NPI
Theresa Lynn Guedry, CRNA
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN104056
- Practice address
- 7145 Perkins Road
Baton Rouge, LA 70808-4322 - Phone
- (225) 765-3111
- Fax
- (225) 765-3114
- NPI assigned
- Aug 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN104056 | LA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN-104056-AP05841 | LA |
Addresses
Primary practice location
7145 Perkins Road
Baton Rouge, LA 70808-4322
Mailing address
13523 Barrett Parkway Drive
Suite 104
Ballwin, MO 63021-3802
Phone (636) 938-6868
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4000
Hospital & facility affiliations
- Baton Rouge General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-104056-AP05841 | LA | MD | Certified Registered Nurse Anesthetist |
| RN104056 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Capital City Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgical Anesthesia Services of California | Past | Accepting new patients |
Locations
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
Organizations & group practices 2
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
- Baton Rouge, LA
- NPI 1245282466
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Davis, CA
- NPI 1588831531
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1154553501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13523 BARRETT PARKWAY DRIVE",
"address_2": "SUITE 104",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630213802",
"telephone_number": "636-938-6868",
"fax_number": "636-938-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 PERKINS ROAD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084322",
"telephone_number": "225-765-3111",
"fax_number": "225-765-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEDRY",
"first_name": "THERESA",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN104056",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN-104056-AP05841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.