Individual provider Active NPI

Emily Ann Yeager

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
National Provider Identifier
1457711293
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN128575 Issued in LA
Practice address
312 Grammont St
Monroe, LA 71201-7457
Phone
(318) 388-4040
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 RN128575 LA Primary

Addresses

Primary practice location

312 Grammont St
Monroe, LA 71201-7457

Mailing address

1403 Reserve Dr
Clinton, MS 39056-5660
Phone (318) 267-9298

Other names 1

  • Emily Ann Church Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726001558 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123311321 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smso Anesthesia, LLCGroup PAC ID 7012970627, 49 clinicians
Brfhh Monroe LLCGroup PAC ID 0042446577, 17 clinicians

Practice addresses (Care Compare)

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

Hospital & facility affiliations

  • Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN128575LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Endoscopy Center of Monroe CurrentSince Aug 1, 2023 Accepting new patients
Brfhh Monroe LLC CurrentSince Dec 6, 2021 Accepting new patients
Brfhh Monroe LLC CurrentSince Dec 6, 2021 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Dec 6, 2021 Accepting new patients

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

101 Catalpa St
Monroe, LA 71201
Phone (318) 812-1761

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

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

102 Thomas Rd
Ste 506
West Monroe, LA 71291
Phone (318) 388-6983

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1457711293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 RESERVE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565660",
            "telephone_number": "318-267-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017457",
            "telephone_number": "318-388-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN128575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CHURCH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 20, 2016; 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.