Active NPI
Huey P. Long Reg Medical Center
- Certified Registered Nurse Anesthetist
- Pineville, LA
National Provider Identifier
1518106962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 255
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1799947 | Medicaid | LA |
Other names 1
- Huey P. Long CRNA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Emergency Response Attendant
- Baltimore, MD
- NPI 1154384964
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.