Individual provider Active NPI

Denise Y Rote-Hintz, CRNA

  • Certified Registered Nurse Anesthetist
  • Mansfield, LA
National Provider Identifier
1275693285
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP03009 Issued in LA
Practice address
207 Jefferson St
Mansfield, LA 71052-2603
Phone
(318) 872-4160
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP03009 LA Primary
Registered Nurse 163W00000X RN086632 LA

Addresses

Primary practice location

207 Jefferson St
Mansfield, LA 71052-2603

Mailing address

925 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (847) 615-2200

Other identifiers 1

IdentifierTypeStateIssuer
1694401MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622001570 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042295149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tandem Anesthesia LLCGroup PAC ID 0446159685, 4 clinicians

Practice addresses (Care Compare)

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634
Phone (318) 798-4500

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-4610

445 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 869-1130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 31, 2001 Accepting new patients
Arena Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients

Locations

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

2401 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-8270

1455 E Bert Kouns Industrial Loop
#101
Shreveport, LA 71105
Phone (318) 798-4424

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

7941 Youree Dr
Shreveport, LA 71105
Phone (318) 797-7941

445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130

457 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 861-1260

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1275693285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203",
            "telephone_number": "847-615-2200",
            "fax_number": "888-735-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522603",
            "telephone_number": "318-872-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTE-HINTZ",
        "first_name": "DENISE",
        "middle_name": "Y",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP03009",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN086632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1694401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.

Verify at the official NPI Registry.