Individual provider Active NPI

Maria Fernanda Kazibutowski, CSA

  • Surgical Assistant
  • Metairie, LA
National Provider Identifier
1437516457
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
3173 Issued in LA
Practice address
4315 Houma Blvd Ste 304
Metairie, LA 70006-2944
Phone
(504) 207-2222
Fax
(504) 885-0080
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 3173 LA Primary

Addresses

Primary practice location

4315 Houma Blvd Ste 304
Metairie, LA 70006-2944

Mailing address

4315 Houma Blvd Ste 304
Metairie, LA 70006-2944
Phone (504) 207-2222

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3173LAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry a Pretus MD PHD Apmc Past Accepting new patients
Henry a. Pretus, M.D., PHD, Apmc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eab0e7ae-9234-494a-b931-951d942d180e/

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1437516457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 304",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062944",
            "telephone_number": "504-207-2222",
            "fax_number": "504-885-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 304",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062944",
            "telephone_number": "504-207-2222",
            "fax_number": "504-885-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZIBUTOWSKI",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "LA",
            "license": "3173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.