Individual provider Active NPI

Kourtney L Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
National Provider Identifier
1376709311
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP05530 Issued in LA
Practice address
309 Jackson St
Monroe, LA 71201
Phone
(318) 966-4190
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 AP05530 LA Primary

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201

Mailing address

211 Lewis LN
West Monroe, LA 71291-8771
Phone (318) 355-3396

Other practice location 1

1415 Tulane Ave
HC-71
New Orleans, LA 70112-2600
Phone (504) 988-3290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000509 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507932472 Reassigns benefits to 7 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
M Kneeland LLCGroup PAC ID 2264976331, 8 clinicians
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

2480 Hwy 33
Ruston, LA 71270-5093
Phone (318) 224-2404

694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2018 Accepting new patients
M Kneeland LLC CurrentSince Mar 2, 2024 Accepting new patients
Smso Anesthesia, LLC CurrentSince Sep 1, 2019 Accepting new patients
Orthomed Staffing LLC CurrentSince Sep 25, 2023 Accepting new patients
Endoscopy Center of Monroe CurrentSince Jan 5, 2021 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2021 Accepting new patients

Locations (25 of 28)

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020

191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050

42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884

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

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

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515

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

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

2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668

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

4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006

316 S 6th St
Monroe, LA 71201
Phone (318) 325-2634

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

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

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

1415 Tulane Ave
#71
New Orleans, LA 70112
Phone (504) 988-5881

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1376709311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LEWIS LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918771",
            "telephone_number": "318-355-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Tulane Ave",
            "address_2": "HC-71",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122600",
            "country_code": "US",
            "telephone_number": "504-988-3290",
            "fax_number": "504-988-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KOURTNEY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP05530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.