Individual provider Active NPI

Brenda Soileau, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1417936980
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP104007 Issued in TX
Practice address
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Phone
(713) 620-4000
Fax
(713) 458-4229
NPI assigned
Jan 12, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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 AP104007 TX Primary

Addresses

Primary practice location

1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300

Mailing address

PO Box 650865
Dallas, TX 75265-0865
Phone (972) 233-1999

Other identifiers 4

IdentifierTypeStateIssuer
109816202MedicaidTX
89808COtherTXBLUE CROSS BLUE SHIELD
430045505OtherTXRAILROAD MEDICARE
109816206MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001182 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113993916 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care by Doctors PLLCGroup PAC ID 5092987008, 3 clinicians
Lone Star Anesthesia Associates, PLLCGroup PAC ID 2860882529, 25 clinicians
Houston Anesthesia Services PLLCGroup PAC ID 6305255399, 27 clinicians

Practice addresses (Care Compare)

10837 Katy Fwy
Suite 175
Houston, TX 77079-2211
Phone (713) 932-9200

3030 S Gessner Rd
Suite 150
Houston, TX 77063-3777
Phone (713) 587-0909

6200 Savoy Dr
Suite 1202
Houston, TX 77036-3397
Phone (888) 589-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42241TXMDPharmacist
AP104007TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Houston Anesthesia Services PLLC CurrentSince Jul 1, 2021 Accepting new patients
Lone Star Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Campbell Anesthesia Group, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Anesthesia Care by Doctors PLLC CurrentSince Apr 17, 2023 Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

10837 Katy Fwy
Ste 175
Houston, TX 77079
Phone (713) 932-9200

1438 Campbell Rd
Ste 104
Houston, TX 77055
Phone (713) 464-1650

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1417936980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650865",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CITYWEST BLVD",
            "address_2": "STE. 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422300",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "BRENDA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP104007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109816202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89808C",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430045505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109816206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.