Individual provider Active NPI

Vincent Guy Lombardo, CRNA

  • Certified Registered Nurse Anesthetist
  • Picayune, MS
National Provider Identifier
1588747489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R854721 Issued in MS
Practice address
801 Goodyear Blvd
Picayune, MS 39466
Phone
(601) 798-4711
Fax
(601) 749-3187
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 R854721 MS Primary

Addresses

Primary practice location

801 Goodyear Blvd
Picayune, MS 39466

Mailing address

PO Box 909
801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 798-4711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000367 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941290993 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
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)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 613-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R854721MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Group Associates Inc CurrentSince Mar 1, 2021 Accepting new patients
Northlake Anesthesiologists, a Professional Corporation CurrentSince Aug 30, 2014 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Oct 1, 2023 Accepting new patients
Gastroenterology Anesthesia LLC CurrentSince Nov 13, 2020 Accepting new patients
Diversified Professionals, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 12, 2020 Accepting new patients
Northlake Endoscopy, LLC Current Accepting new patients
Outpatient Eye Surgery Center Past Accepting new patients

Locations

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

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011

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

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

16061 Doctors Blvd
Ste A
Hammond, LA 70403
Phone (985) 345-6090

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

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588747489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "address_2": "801 GOODYEAR BLVD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466",
            "telephone_number": "601-798-4711",
            "fax_number": "601-749-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GOODYEAR BLVD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466",
            "telephone_number": "601-798-4711",
            "fax_number": "601-749-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "VINCENT",
        "middle_name": "GUY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R854721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

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.
  • 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.