Anesthesia Professionals of Louisiana a Professional Corporation
Organization Active NPI Certified Registered Nurse Anesthetist · Zachary, LA
NPI 1700738424 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1700738424
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- ANESTHESIA PROFESSIONALS OF LOUISIANA A PROFESSIONAL CORPORATION
- Practice address
- 6300 Main St
Zachary, LA 70791-4037 - Phone
- (225) 658-4000
- NPI assigned
- Feb 13, 2026
- Organization subpart
- No
Authorized official
- Name
- Stacey Wilson
- Title
- Director
- Phone
- (865) 985-7114
Practitioners 11
-
Amy M Holstein, CRNA
-
Matthew Richardson, CRNA
-
Alexander I Waters, CRNA
-
Noah Brock Hatcher, CRNA
-
Josh Douglas Gautreaux, CRNA
-
Nicole R. Williams, CRNA
-
Amy Lynn Marcucci, CRNA
-
Lisa Goff Pagel, CRNA
-
Cristina Maria Rhodes, CRNA, APRN
-
Daniel O'Brien, CRNA
-
Mary T Mitchell, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260625004140 | LA | Part B Supplier - Clinic/Group Practice | 8628541133 |
Receives reassigned benefits from 9 practitioners Practice locations: Zachary, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
6300 Main St
Zachary, LA 70791-4037
Mailing address
265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053
Phone (865) 985-7114
Other providers in Zachary, LA
- Amber Anderson
- Brandi Anderson
- Geraldlynn Anderson
- Jessica Amber Anderson
- Susan Haefner Andries
- Ashtin Anio
- Architects of Everyday Living
- Architects of Everyday Living
- Anna Jones Ardoin
- Ashley Junniene Integrative Care LLC
All providers in Zachary, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.