Active NPI
Michael Wayne Fusilier, CRNA
- Certified Registered Nurse Anesthetist
- Ville Platte, LA
National Provider Identifier
1376690354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP02020
- Practice address
- 800 E Main St
Ville Platte, LA 70586-4618 - Phone
- (337) 468-2767
- Fax
- (337) 468-4170
- NPI assigned
- Jan 4, 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 | AP02020 | LA | Primary |
Addresses
Primary practice location
800 E Main St
Ville Platte, LA 70586-4618
Mailing address
PO Box 120
Mamou, LA 70554-0120
Phone (337) 468-2767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1390879 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP02020 | LA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1376690354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120",
"city": "MAMOU",
"state": "LA",
"postal_code": "705540120",
"telephone_number": "337-468-2767",
"fax_number": "337-468-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E MAIN ST",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705864618",
"telephone_number": "337-468-2767",
"fax_number": "337-468-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSILIER",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP02020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1390879",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ville Platte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.