Active NPI
Glenn A House Sr., CRNA
- Certified Registered Nurse Anesthetist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN066203
- Practice address
- 1001 Gause Blvd
Slidell, LA 70458-2939 - Phone
- (985) 649-8767
- NPI assigned
- Jul 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | RN066203 | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Slidell, LA 70458-2939
Mailing address
120 Innwood Dr
Covington, LA 70433-9123
Phone (985) 649-8767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014222 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN066203 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Anesthesiology Group Associates Inc | Current | Accepting new patients | |
| Parish Anesthesia West Bank, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Crescent City Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
2637 Valleydale Rd
#200
Hoover, AL 35244
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
Organizations & group practices 6
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.
-
- Specialist
- Baton Rouge, LA
- NPI 1255399598
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1205888484
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Marrero, LA
- NPI 1336343532
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1295925832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 INNWOOD DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339123",
"telephone_number": "985-649-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-649-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "GLENN",
"middle_name": "A",
"name_suffix": "Sr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN066203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014222",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.