Active NPI
Nicole B. Oblanc, CRNA
- Certified Registered Nurse Anesthetist
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN105057
- Practice address
- 3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531 - Phone
- (504) 779-5515
- Fax
- (504) 779-5568
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- 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 | RN105057 | LA | Primary |
Addresses
Primary practice location
3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224
Other practice location 1
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6000
Other names 1
- Nicole M. Bruno
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN105057 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Dreamland Uap Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mason Ridge Ambulatory Surgery Center LP | Past | Accepting new patients | |
| Crescent City Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
100 Village Sq
Hazelwood, MO 63042
Phone (314) 355-4010
200 NE 54th St
Unit 200
Kansas City, MO 64118
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 396-9517
5401 Veterans Memorial Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 441-0906
15305 Dallas Pkwy
Ste 1600
Addison, TX 75001
Phone (972) 385-4263
Organizations & group practices 5
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.
-
dba Western Anesthesiology Pain Management
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Certified Registered Nurse Anesthetist
- Hazelwood, MO
- NPI 1073919494
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1205888484
Nurse Anesthetist, Certified Registered
-
dba Gateway Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Chesterfield, MO
- NPI 1821453796
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1346409430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CONSORT DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114439",
"telephone_number": "636-386-9224",
"fax_number": "636-200-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD",
"address_2": "SUITE 404",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-779-5515",
"fax_number": "504-779-5568"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-6000",
"fax_number": "636-386-7679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBLANC",
"first_name": "NICOLE",
"middle_name": "B.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN105057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BRUNO",
"middle_name": "M.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
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 8, 2019; 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.