David James Doucet, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Shreveport, LA
NPI 1528034394 · NPPES record last updated Jan 16, 2008
Key facts
- NPI
- 1528034394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP037606 (LA)
- Practice address
- 1 Saint Mary PL
PFS - Pro Billing
Shreveport, LA 71101-4343 - Phone
- (318) 681-6878
- Fax
- (318) 681-7402
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Health Northern Louisiana
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-6678
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Christus St Frances Cabrini Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040325000991 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5294627261 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037606 | LA | MD | Registered Nurse |
| AP037606 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Health Northern Louisiana | Current |
Accepting new patients | |
| Medical Center Anesthesiologists | Current |
Accepting new patients | |
| Christus Health Northern Louisiana | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients |
Locations
1343 Canton Rd
Ste C
Marietta, GA 30066
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
708 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 210-3315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 037606 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP037606 | LA | Yes |
Addresses
Primary practice location
1 Saint Mary PL
PFS - Pro Billing
Shreveport, LA 71101-4343
Mailing address
1 Saint Mary PL
PFS - Pro Billing
Shreveport, LA 71101-4343
Phone (318) 681-6878
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1960438 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1528034394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAINT MARY PL",
"address_2": "PFS - PRO BILLING",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014343",
"telephone_number": "318-681-6878",
"fax_number": "318-681-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT MARY PL",
"address_2": "PFS - PRO BILLING",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014343",
"telephone_number": "318-681-6878",
"fax_number": "318-681-7402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCET",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "037606",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP037606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1960438",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Neville Rohinton Dossabhoy
- Emerson Thomas Dotson Jr.
- Jarvis Derome Dotson
- Yolonda Dotson
- Shiva Doty
- Elliott Denton Doucet
- Amri A Douglas
- Arthur Douglas III
- Christie Douglas
- D'Andria Monique Douglas
All providers in Shreveport, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.