Surgical Assistants of Acadiana, LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN105855 Issued in LA

Legal business name

SURGICAL ASSISTANTS OF ACADIANA, LLC

Practice address

1101 Kaliste Saloom Rd
Lafayette, LA 70508-5705

Phone

(337) 769-4100

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Fallon Aliesha Funderburk, BSN, RN, CNOR, RNFANPI 1386041150

Title

Registered Nurse First Assistant

Phone

(318) 218-0515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fallon Funderburk, BSN, RN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Lafayette, LA
  • NPI 1386041150
  NPD (past) Authorized official

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1770007684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RUE DE FREJUS",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085705",
            "telephone_number": "337-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF ACADIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "FALLON",
        "authorized_official_middle_name": "ALIESHA",
        "authorized_official_title_or_position": "REGISTERED NURSE FIRST ASSISTANT",
        "authorized_official_telephone_number": "318-218-0515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, CNOR, RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "LA",
            "license": "RN105855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Summers, M.D.
• Summit Behavioral Services
• Summit BHC Lafayette, LLC (Victory Addiction Recovery Center)
• Stepheny Sumrall, N.P.
• Sunflower ZS Healing Garden
• Surgical Critical Services, LLC
• Surgical Hospital Management System LLC
• Susan E Uhrich MD Apllc
• William Sutton
• Emily Lewis Svendson, MOT, LOTR

• Registered Nurse First Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Registered Nurse First Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.