Individual provider Active NPI

Tracy Fabre, CRNA

  • Certified Registered Nurse Anesthetist
  • Lafayette, LA
National Provider Identifier
1487978722
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209008053 Issued in IL
Practice address
1101 Kaliste Saloom Rd
Lafayette, LA 70508-5705
Phone
(337) 988-5646
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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 209008053 IL Primary

Addresses

Primary practice location

1101 Kaliste Saloom Rd
Lafayette, LA 70508-5705

Mailing address

1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783
Phone (337) 988-5646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140113000855 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163682717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1000 W Pinhook Rd
Suite 305
Lafayette, LA 70503-2460
Phone (337) 235-1600

Hospital & facility affiliations

  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures, Inc CurrentSince Apr 1, 2021 Accepting new patients
Anesthesiology & Pain Consultants, LLC CurrentSince Jul 24, 2013 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

1000 W Pinhook Rd
Ste 305
Lafayette, LA 70503
Phone (337) 235-1600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1487978722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 304",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-988-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085705",
            "telephone_number": "337-988-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "TRACY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209008053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.