Individual provider Active NPI

Jacob Irion Richard, CRNA

  • Certified Registered Nurse Anesthetist
  • Houma, LA
National Provider Identifier
1649400755
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP05864 Issued in LA
Practice address
1978 Industrial Blvd
Houma, LA 70363-7055
Phone
(985) 873-2200
NPI assigned
Jul 23, 2009
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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 AP05864 LA Primary

Addresses

Primary practice location

1978 Industrial Blvd
Houma, LA 70363-7055

Mailing address

131 Cinclare Dr
Thibodaux, LA 70301-8083
Phone (985) 447-4102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090925000518 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385790732 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Saint Bernard St
Thibodaux, LA 70301-6549
Phone (985) 447-7246

602 N Acadia Rd
Radiology Dept
Thibodaux, LA 70301-4847
Phone (985) 493-4756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05864LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafourche Parish Hospital Service District No.1 CurrentSince Mar 24, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Feb 27, 2012 Accepting new patients
Thibodaux Laser and Surgery Center, LLC CurrentSince Jun 1, 2020 Accepting new patients
Thibodaux Laser and Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Feb 27, 2012 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince Mar 24, 2020 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2017 Accepting new patients

Locations

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

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

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

1101 Audubon Ave
Ste S4
Thibodaux, LA 70301
Phone (985) 447-7246

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088

764 N Acadia Rd
#B
Thibodaux, LA 70301
Phone (958) 446-1958

Organizations & group practices 10

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 1

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1649400755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CINCLARE DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018083",
            "telephone_number": "985-447-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-873-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JACOB",
        "middle_name": "IRION",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP05864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.