Individual provider Active NPI

Suzanne R Simons, CRNA

  • Certified Registered Nurse Anesthetist
  • Thibodaux, LA
National Provider Identifier
1700956448
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
038405 Issued in LA
Practice address
602 N Acadia Rd
Thibodaux, LA 70301-4847
Phone
(985) 493-4750
NPI assigned
Nov 9, 2006
Last updated
Oct 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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 038405 LA Primary

Addresses

Primary practice location

602 N Acadia Rd
Thibodaux, LA 70301-4847

Mailing address

PO Box 1449
Thibodaux, LA 70302-1449
Phone (985) 446-8994

Other identifiers 1

IdentifierTypeStateIssuer
1905500MedicaidLA

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

State licenses

LicenseStateTypeSpecialty
038405LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Center, LLC Current Accepting new patients
Anesthesia Associates of Bayou Region LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2023 Accepting new patients
Jorge J Bravo MD a Professional Corporation Past Accepting new patients

Locations

218 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

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

602 N Acadia Rd
#M
Thibodaux, LA 70301
Phone (985) 493-4740

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1700956448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703021449",
            "telephone_number": "985-446-8994",
            "fax_number": "985-447-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014847",
            "telephone_number": "985-493-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "SUZANNE",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "038405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905500",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.