Individual provider Active NPI

Justin P Arnold, CRNA

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
National Provider Identifier
1346488376
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
110775 Issued in LA
Practice address
600 N Lewis St
New Iberia, LA 70563-2043
Phone
(337) 374-4144
NPI assigned
Jan 29, 2009
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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 110775 LA Primary

Addresses

Primary practice location

600 N Lewis St
New Iberia, LA 70563-2043

Mailing address

PO Box 20452
Yps-Credentialing
Columbus, OH 43220-0452
Phone (614) 442-2406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000456 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567529217 Reassigns benefits to 4 organizations

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
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

1100 Andre St
Suite 300
New Iberia, LA 70563-2159
Phone (337) 364-9225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110775LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia of Lafayette LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
J Dauzart Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2019 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jan 1, 2011 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jan 1, 2011 Accepting new patients
Hospital Service District No. 1 of Iberia Parish CurrentSince Dec 24, 2015 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2014 Accepting new patients
Hospital Service District No 1 of Iberia Parish CurrentSince Dec 24, 2015 Accepting new patients

Locations

443 Heymann Blvd
Lafayette, LA 70503
Phone (337) 269-1126

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

2312 E Main St
Ste A
New Iberia, LA 70560
Phone (337) 364-9681

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1346488376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "YPS-CREDENTIALING",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-442-2406",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "337-374-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "110775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.