Organization Active NPI

Huey P. Long Reg Medical Center

  • Certified Registered Nurse Anesthetist
  • Pineville, LA
National Provider Identifier
1518106962
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
255 Issued in LA
Legal business name
HUEY P. LONG REG MEDICAL CENTER
Practice address
352 Hospital Blvd
Pineville, LA 71361-5352
Phone
(318) 448-0811
Fax
(318) 473-6360
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Mrs. Melanie H Sotak, MHSA
Title
Director of Managed Care
Phone
(318) 675-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 255 LA Primary

Addresses

Primary practice location

352 Hospital Blvd
Pineville, LA 71361-5352

Mailing address

352 Hospital Road
Pineville, LA 71360-0000
Phone (318) 448-0811

Other identifiers 1

IdentifierTypeStateIssuer
1799947MedicaidLA

Other names 1

  • Huey P. Long CRNA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1518106962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HOSPITAL ROAD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600000",
            "telephone_number": "318-448-0811",
            "fax_number": "318-473-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 HOSPITAL BLVD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713615352",
            "telephone_number": "318-448-0811",
            "fax_number": "318-473-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEY P. LONG REG MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SOTAK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "318-675-7737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799947",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huey P. Long CRNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.