Active NPI
Amy Theresa David, CRNA
- Certified Registered Nurse Anesthetist
- Ventress, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP05690
- Practice address
- 14264 Patin Dyke Rd
Ventress, LA 70783-3904 - Phone
- (225) 618-9102
- NPI assigned
- Apr 23, 2009
- Last updated
- Apr 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | AP05690 | LA | Primary |
Addresses
Primary practice location
14264 Patin Dyke Rd
Ventress, LA 70783-3904
Mailing address
14264 Patin Dyke Rd
Ventress, LA 70783-3904
Phone (225) 618-9102
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7301 Hennessy Blvd
Suite 100
Baton Rouge, LA 70808-4793
Phone (225) 763-6011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP05690 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpi of Louisiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Diversified Professionals, Inc. | Current | Accepting new patients | |
| Zachary ASC Partners, LLC | Past | Accepting new patients |
Locations
7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111
7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443
7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011
8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143
4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100
6300 Main St
Zachary, LA 70791
Phone (225) 570-2618
6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1144083387
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1700923992
-
- Ambulatory Surgical Clinic/Center
- Zachary, LA
- NPI 1356646715
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lane Endoscope Center
- Endoscopy Clinic/Center
- Zachary, LA
- NPI 1255080503
Hospital
-
dba Lane Regional Medical Center
- General Acute Care Hospital
- Zachary, LA
- NPI 1376591941
-
dba Lane Regional Medical Center - Lane Health & Wellness Clinic
- Psychiatry Physician
- Zachary, LA
- NPI 1679466577
Hospital
-
dba Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY
- Allergy & Immunology Physician
- Zachary, LA
- NPI 1740061076
Hospital
-
- Gastroenterology Physician
- Zachary, LA
- NPI 1952878506
Hospital
-
dba Lane Regional Medical Center-Lane Dermatology
- Dermatology Physician
- Zachary, LA
- NPI 1992477111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1205070109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14264 PATIN DYKE RD",
"city": "VENTRESS",
"state": "LA",
"postal_code": "707833904",
"telephone_number": "225-618-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14264 PATIN DYKE RD",
"city": "VENTRESS",
"state": "LA",
"postal_code": "707833904",
"telephone_number": "225-618-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "AMY",
"middle_name": "THERESA",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP05690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventress, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.