Angeline Carrillo

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

220345 Issued in LA

Practice address

3234 Ole Miss Dr
Kenner, LA 70065-4123

Phone

(863) 257-5053

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Childrens Hospital Anesthesia Corporation

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1649362740
  Medicare reassignment Care Compare group NPD
• Anesthesiology Group Associates Inc

  • Specialist
  • Baton Rouge, LA
  • NPI 1255399598
  Medicare reassignment NPD
• Prime Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
  • NPI 1124707435

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Delta South Anesthesia and Pain

  • Clinic/Center
  • Metairie, LA
  • NPI 1043513401
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454
  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  Care Compare affiliation

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1548896830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 OLE MISS DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654123",
            "telephone_number": "863-257-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 OLE MISS DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654123",
            "telephone_number": "863-257-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANGELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "220345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Campisi, MD
• Donald A Canales
• Hoa Thi-Thanh Cao, DDS
• Tracy Nicole Carlson, PH.D.
• Kaycee Marie Caron, MCD, CCC-SLP
• Alejandro Miguel Castaneda, MD
• Catholic Charities
• Jonathan Catt, LCSW
• Jose Chacon
• Abby Champagne

• Certified Registered Nurse Anesthetist in Kenner, LA
• Providers in Kenner, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.