Individual provider Active NPI

Christy Ducote Eaves, CRNA

  • Certified Registered Nurse Anesthetist
  • Ventress, LA
National Provider Identifier
1528111853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP04546 Issued in LA
Practice address
14285 Waterloo Drive
Ventress, LA 70783
Phone
(225) 638-9817
NPI assigned
Jan 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AP04546 LA Primary

Addresses

Primary practice location

14285 Waterloo Drive
Ventress, LA 70783

Mailing address

14285 Waterloo Drive
Ventress, LA 70783
Phone (225) 638-9817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000697 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577589035 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04546LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2008 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Jul 1, 2010 Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2010 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2015 Accepting new patients
DRS Burleigh, Dupleix and Rees Past Accepting new patients

Locations

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

4950 Essen Ln
Ste 300
Baton Rouge, LA 70809
Phone (225) 214-6688

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

7777 Hennessy Blvd
Ste 5000
Baton Rouge, LA 70808
Phone (225) 214-6688

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 367-9411

2312 E Main St
Ste A
New Iberia, LA 70560
Phone (337) 364-9681

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528111853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 WATERLOO DRIVE",
            "city": "VENTRESS",
            "state": "LA",
            "postal_code": "70783",
            "telephone_number": "225-638-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 WATERLOO DRIVE",
            "city": "VENTRESS",
            "state": "LA",
            "postal_code": "70783",
            "telephone_number": "225-638-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "CHRISTY",
        "middle_name": "DUCOTE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventress, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.