Active NPI
Wanda C Tullier, CRNA
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
National Provider Identifier
1609847409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP01368
- Practice address
- 4950 Essen LN
Regional Eye Surgery Center
Baton Rouge, LA 70809-3432 - Phone
- (225) 241-6688
- Fax
- (225) 214-6687
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP01368 | LA | Primary |
Addresses
Primary practice location
4950 Essen LN
Regional Eye Surgery Center
Baton Rouge, LA 70809-3432
Mailing address
PO Box 661495
Birmingham, AL 35266-1495
Phone (205) 979-5882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1685097 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Organizations & group practices 2
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
- Lafayette, LA
- NPI 1659368694
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609847409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 661495",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352661495",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 ESSEN LN",
"address_2": "REGIONAL EYE SURGERY CENTER",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093432",
"telephone_number": "225-241-6688",
"fax_number": "225-214-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLIER",
"first_name": "WANDA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP01368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1685097",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.