Individual provider Active NPI

Jay L Lafleur

  • Certified Registered Nurse Anesthetist
  • Crowley, LA
National Provider Identifier
1679625883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN040461 Issued in LA
Practice address
1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone
(337) 783-3222
Fax
(337) 788-6598
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN040461LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
West Cal Anesthesia Associates Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN040461 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202

Mailing address

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1392898MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679625883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CROWLEY RAYNE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268202",
            "telephone_number": "337-783-3222",
            "fax_number": "337-788-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CROWLEY RAYNE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268202",
            "telephone_number": "337-783-3222",
            "fax_number": "337-788-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLEUR",
        "first_name": "JAY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN040461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1392898",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.