Jacqueline Brockhoeft, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN059884 AP04027 Issued in LA

Practice address

2525 Severn Ave
Metairie, LA 70002-5932

Phone

(504) 832-4200

Fax

(504) 378-5121

NPI assigned

Mar 9, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

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)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Childrens Hospital Anesthesia Corporation

  dba LCMC Anesthesia

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1649362740
  Medicare reassignment Care Compare group NPD
• Parish Anesthesia of Tulane

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1588998231

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Tuhc Anesthesiology Group LLC

  • Anesthesiology Physician
  • New Orleans, LA
  • NPI 1760435432
  NPD (past)

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

• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1669504379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SEVERN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025932",
            "telephone_number": "504-832-4200",
            "fax_number": "504-378-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SEVERN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025932",
            "telephone_number": "504-832-4200",
            "fax_number": "504-378-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKHOEFT",
        "first_name": "JACQUELINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN059884 AP04027",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN059884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Briseno
• Ronald E Brister, LMT
• Kriesha Britton, RN
• Endia Mieocha Brock
• Mary Josephine Brock
• Asha Brooks
• Cheerie Brooks
• Courtney Brooks, RD
• Destini Brooks
• Duane Brooks

• Certified Registered Nurse Anesthetist in Metairie, LA
• Providers in Metairie, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.