Active NPI
Clinton Stephens, CRNA
- Certified Registered Nurse Anesthetist
- Terrytown, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP08879
- Practice address
- 2500 Belle Chasse Hwy
Terrytown, LA 70056-7127 - Phone
- (504) 391-5157
- NPI assigned
- Apr 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RN139455 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP08879 | LA | Primary |
Addresses
Primary practice location
2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Mailing address
4620 S Derbigny St
New Orleans, LA 70125-5014
Phone (361) 649-6905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09523777 | Medicaid | MS | |
| 2428535 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 613-0711
Hospital & facility affiliations
- East Jefferson General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN139455 | LA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Childrens Hospital Anesthesia Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
1514 Jefferson Hwy
New Orleans, LA 70121
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Pediatrics Physician
- Destrehan, LA
- NPI 1356540108
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1588028310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 S DERBIGNY ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701255014",
"telephone_number": "361-649-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BELLE CHASSE HWY",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700567127",
"telephone_number": "504-391-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CLINTON",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": "RN139455",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP08879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09523777",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2428535",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terrytown, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.