Individual provider Active NPI

Melanie Distefano Ditta, CRNA

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
National Provider Identifier
1336331180
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP03522 Issued in LA
Practice address
3510 N Causeway Blvd Ste 404
Metairie, LA 70002-3531
Phone
(504) 779-5515
Fax
(504) 779-5568
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP03522 LA Primary

Addresses

Primary practice location

3510 N Causeway Blvd Ste 404
Metairie, LA 70002-3531

Mailing address

3510 N Causeway Blvd Ste 404
Metairie, LA 70002-3531
Phone (504) 779-5515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000256 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032163670 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP03522LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 4, 2014 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Mar 1, 2017 Accepting new patients
Orthomed Staffing LLC CurrentSince Sep 19, 2024 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Sep 1, 2022 Accepting new patients
Physicians Medical Center, LLC Current Accepting new patients
Parish Anesthesia West Bank, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Parish Anesthesia of Harvey, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

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

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

218 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1111 Medical Center Blvd
Marrero, LA 70072
Phone (504) 349-2332

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

3901 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 408-0804

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1601 Louisville Ave
Monroe, LA 71201
Phone (318) 998-5555

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Organizations & group practices 7

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.

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1336331180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N CAUSEWAY BLVD STE 404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023531",
            "telephone_number": "504-779-5515",
            "fax_number": "504-779-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N CAUSEWAY BLVD STE 404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023531",
            "telephone_number": "504-779-5515",
            "fax_number": "504-779-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTEFANO DITTA",
        "first_name": "MELANIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP03522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.