Individual provider Active NPI

Jacob P Launey, CRNA

  • Certified Registered Nurse Anesthetist
  • Mamou, LA
National Provider Identifier
1477637338
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP04886 Issued in LA
Practice address
801 Poinciana Ave
Mamou, LA 70554-2243
Phone
(337) 468-5261
Fax
(337) 468-3342
NPI assigned
Oct 25, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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 AP04886 LA Primary

Addresses

Primary practice location

801 Poinciana Ave
Mamou, LA 70554-2243

Mailing address

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-5261

Other identifiers 1

IdentifierTypeStateIssuer
1507466MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070831000137 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678666021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

Practice addresses (Care Compare)

417 E Lincoln Rd
Suite a Fontenot Family Clinic
Ville Platte, LA 70586-3431
Phone (337) 363-5446

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ville Platte LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2019 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Nov 23, 2019 Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Hospital Service District No. 1 of Iberia Parish CurrentSince Jun 21, 2011 Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Hospital Service District No 1 of Iberia Parish CurrentSince Jun 21, 2011 Accepting new patients

Locations

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

Organizations & group practices 6

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.

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1477637338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-5261",
            "fax_number": "337-468-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-5261",
            "fax_number": "337-468-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUNEY",
        "first_name": "JACOB",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamou, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.