Individual provider Active NPI

Vannasinh Panyanouvong

  • Certified Registered Nurse Anesthetist
  • Lafayette, LA
National Provider Identifier
1619408192
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP09443 Issued in LA
Practice address
107 Young Oak Dr
Lafayette, LA 70507-3205
Phone
(337) 256-0221
NPI assigned
Mar 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 AP09443 LA Primary

Addresses

Primary practice location

107 Young Oak Dr
Lafayette, LA 70507-3205

Mailing address

107 Young Oak Dr
Lafayette, LA 70507-3205
Phone (337) 256-0221

Other practice location 1

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170811000354 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345511242 Reassigns benefits to 5 organizations
I20220824003050 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345511242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians

Practice addresses (Care Compare)

1100 Andre St
New Iberia, LA 70563-2159
Phone (337) 365-6591

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09443LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Apr 1, 2021 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2019 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Oct 5, 2023 Accepting new patients
Lafayette Health Ventures Inc. CurrentSince Apr 1, 2021 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

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

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

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

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

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

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

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

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1619408192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 YOUNG OAK DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073205",
            "telephone_number": "337-256-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 YOUNG OAK DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073205",
            "telephone_number": "337-256-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2574",
            "fax_number": "337-470-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANYANOUVONG",
        "first_name": "VANNASINH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP09443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.