Active NPI
Lsumc University Medical Center
- Certified Registered Nurse Anesthetist
- Lafayette, LA
National Provider Identifier
1285676288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- LSUMC UNIVERSITY MEDICAL CENTER
- Practice address
- 2390 W Congress St
Lafayette, LA 70506-4205 - Phone
- (337) 261-6000
- Fax
- (337) 261-6003
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald R Smithburg
- Title
- Vice Chancellor Ceo
- Phone
- (225) 922-1474
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
2390 W Congress St
Lafayette, LA 70506-4205
Mailing address
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1446793 | Medicaid | LA | |
| 1799891 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2390 W Congress St
#1
Lafayette, LA 70506
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Lafayette, LA
- NPI 1245345586
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lafayette, LA
- NPI 1952312845
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1285676288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064205",
"telephone_number": "337-261-6000",
"fax_number": "337-261-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064205",
"telephone_number": "337-261-6000",
"fax_number": "337-261-6003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LSUMC UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SMITHBURG",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VICE CHANCELLOR CEO",
"authorized_official_telephone_number": "225-922-1474",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1446793",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1799891",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.