John Shane Mallett, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP121182 Issued in TX

Practice address

751 Bayou Pines East Dr
Suite L
Lake Charles, LA 70601-7196

Phone

(337) 436-8700

Fax

(337) 436-3008

NPI assigned

Jan 9, 2008

Last updated

Dec 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Los Anesthesia Services LLCGroup PAC ID 0345760666, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Los Anesthesia Services LLC

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1508687419
  Medicare reassignment Care Compare group NPD
• Eunice Anesthesiology Group LLC

  • Anesthesiology Physician
  • Eunice, LA
  • NPI 1386681278
  Medicare reassignment NPD
• Lafayette Health Ventures Inc

  dba dba Family Health Plaza

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment NPD
• Youngs Professional Services LLC

  dba YPS Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sound Physicians Anesthesiology of Texas PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1295356277
  Medicare reassignment NPD
• Lafayette Health Ventures Inc

  dba Jennings American Legion Hospital Physician Group

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures Inc.

  dba Anesthesia

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1831780394

  Anesthesiology

  NPD
• Los Orthopaedic and Spine Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
  • NPI 1457127938
  NPD

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1306021282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BAYOU PINES EAST DR",
            "address_2": "SUITE L",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017196",
            "telephone_number": "337-436-8700",
            "fax_number": "337-436-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BAYOU PINES EAST DR",
            "address_2": "SUITE L",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017196",
            "telephone_number": "337-436-8700",
            "fax_number": "337-436-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "JOHN",
        "middle_name": "SHANE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "RN085277",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP121182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035963",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mallet, MSN, FNP-C
• Alicia Fonda Mallett
• Carl G Mallett, CRNA
• Debra Tower Mallett, CRNA
• Ericka Arlene Mallett, FNP
• Malve Management Solutions LLC
• Danella Malveaux, NP
• Jacinda Malveaux, LAC
• Keonah A Malveaux
• Stephanie Malveaux

• Certified Registered Nurse Anesthetist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.