Active NPI
Dru M. Patin, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, LA
National Provider Identifier
1396764189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP01418
- Practice address
- 4630 Ambassador Caffery Pkwy
Suite 101
Lafayette, LA 70508-6949 - Phone
- (337) 981-6005
- Fax
- (337) 988-3059
- NPI assigned
- Jul 19, 2006
- 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 | AP01418 | LA | Primary |
Addresses
Primary practice location
4630 Ambassador Caffery Pkwy
Suite 101
Lafayette, LA 70508-6949
Mailing address
PO Box 60605
Lafayette, LA 70596-0605
Phone (337) 981-0305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1931284 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP01418 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients | |
| Anesthesia Specialists of Acadiana | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1649267568
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396764189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60605",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705960605",
"telephone_number": "337-981-0305",
"fax_number": "337-981-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 AMBASSADOR CAFFERY PKWY",
"address_2": "SUITE 101",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086949",
"telephone_number": "337-981-6005",
"fax_number": "337-988-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIN",
"first_name": "DRU",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP01418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1931284",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.