Active NPI
Connie M Hargrave, CRNA
- Certified Registered Nurse Anesthetist
- Abbeville, LA
National Provider Identifier
1396777603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 02568
- Practice address
- 118 N Hospital Dr
Abbeville, LA 70510-4039 - Phone
- (337) 893-5466
- NPI assigned
- Jul 7, 2006
- Last updated
- Mar 28, 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 | 02568 | LA | Primary |
Addresses
Primary practice location
118 N Hospital Dr
Abbeville, LA 70510-4039
Mailing address
PO Box 52662
Lafayette, LA 70505-2662
Phone (337) 893-5466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1395463 | 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 |
|---|---|---|---|
| 02568 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbeville General Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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 Abbeville Anesthesia
- Anesthesiology Physician
- Abbeville, LA
- NPI 1780616094
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1396777603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52662",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705052662",
"telephone_number": "337-893-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N HOSPITAL DR",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104039",
"telephone_number": "337-893-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGRAVE",
"first_name": "CONNIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "02568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1395463",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abbeville, LA
- Benjamin Rowdy Guillory, B.S.
- Gulf Regional Occupational Medicine Center of Acadiana (Gulf Regional Occmed & Walk In Clinic)
- Hands-on Occupational Therapy Solutions (Evolve Physical Therapy and Education)
- Lena Nelson Handy, FNP-C
- Lynnly Cupstid Hardee, CCC-SLP
- Quentin Harrington
- Stella Louise Harrington, M.S. CCC-A
- Paula M Harrison
- Health Mart of Abbeville Inc. (Health Mart of Abbeville)
- Health Mart of Abbeville Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.