Individual provider Active NPI

Emily Katherine Theriot

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1639858772
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3-001562 Issued in AL
Practice address
5220 Essen LN
Baton Rouge, LA 70809-3542
Phone
(228) 380-0024
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN161569 LA
Certified Registered Nurse Anesthetist 367500000X 3-001562 AL Primary

Addresses

Primary practice location

5220 Essen LN
Baton Rouge, LA 70809-3542

Mailing address

5220 Essen LN
Baton Rouge, LA 70809-3542
Phone (228) 380-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240208000674 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406299346 Reassigns benefits to 1 organization
I20260617000137 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406299346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

Hospital & facility affiliations

  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN161569LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients

Locations

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

Organizations & group practices 3

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1639858772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093542",
            "telephone_number": "228-380-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093542",
            "telephone_number": "228-380-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN161569",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "3-001562",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 20, 2023; 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.