Active NPI
Jules David Fisher, CRNA
- Certified Registered Nurse Anesthetist
- Eunice, LA
National Provider Identifier
1679610513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN027158
- Practice address
- 400 Moosa Blvd
Eunice, LA 70535-3628 - Phone
- (337) 468-2767
- NPI assigned
- Jan 31, 2007
- Last updated
- Nov 2, 2007
- Sex
- Male
- 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 | RN027158 | LA | Primary |
Addresses
Primary practice location
400 Moosa Blvd
Eunice, LA 70535-3628
Mailing address
112 S Pinecrest Dr
Eunice, LA 70535-6808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1906646 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN027158 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eunice Anesthesiology Group LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Eunice, LA
- NPI 1386681278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1679610513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S PINECREST DR",
"city": "EUNICE",
"state": "LA",
"postal_code": "705356808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MOOSA BLVD",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353628",
"telephone_number": "337-468-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JULES",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN027158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1906646",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eunice, LA
- Family Practice Center of Eunice
- Charles S. Feucht, PHARM. D.
- First Choice Medical Solutions of America
- First Choice Non Emergent Medical Transportation, LLC
- First Reliable Medical Supply (John J Givs Sr)
- Lindsey Ann Font, LMSW
- Clint Fontenot
- Heather E Fontenot, PT
- Kayla R Fontenot, M.D., OBGYN
- Maggie Marie Fontenot, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.