Jayme L Boudreaux, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

531278 Issued in TX

Practice address

2706 W Cuthbert Ave
BLDG B Ste 100
Midland, TX 79701-3885

Phone

(432) 699-0952

Fax

(432) 520-2181

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Haisuli Medical Consultants

  • Anesthesiology Physician
  • Midland, TX
  • NPI 1235746694
  NPD (past)
• Midland Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Midland, TX
  • NPI 1861508640

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1225006083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044157",
            "telephone_number": "432-699-0952",
            "fax_number": "432-520-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 W CUTHBERT AVE",
            "address_2": "BLDG B STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013885",
            "telephone_number": "432-699-0952",
            "fax_number": "432-520-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "JAYME",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "531278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald P Boren, M.D.
• Borgata Scotsdale ER Management LLC
• Ravi C Borra, M.D.
• Brandy Lynn Borunda, PA
• Jennifer Borunda
• Sandra Boulos
• Misty Bowden, MSW, BSW, CBS
• Janet Bowman
• Megan Boxberger, PTA
• Linda K Boyd, MA LPC

• Certified Registered Nurse Anesthetist in Midland, TX
• Providers in Midland, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.