Individual provider Active NPI

Phillip David Westbrook, CRNA

  • Certified Registered Nurse Anesthetist
  • Winnfield, LA
National Provider Identifier
1760426811
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN036870/AP01396 Issued in LA
Practice address
112 Front Ave
Winnfield, LA 71483-7776
Phone
(318) 727-9298
NPI assigned
Jun 16, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 RN036870/AP01396 LA Primary

Addresses

Primary practice location

112 Front Ave
Winnfield, LA 71483-7776

Mailing address

112 Front Ave-Calvin
Winnfield, LA 71483-7776
Phone (318) 727-9298

Other identifiers 2

IdentifierTypeStateIssuer
70805253MedicaidNM
NM006H71OtherNMBCBS

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
RN036870/AP01396LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hospital, LTD Past Accepting new patients
Deming Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC Past Accepting new patients

Organizations & group practices 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1760426811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRONT AVE-CALVIN",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714837776",
            "telephone_number": "318-727-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRONT AVE",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714837776",
            "telephone_number": "318-727-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "PHILLIP",
        "middle_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN036870/AP01396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70805253",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM006H71",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.