Individual provider Active NPI

Annette P Poche, CST

  • Surgical Technologist
  • Gretna, LA
National Provider Identifier
1780852327
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
074240 Issued in LA
Practice address
515 Westbank Expy Ste 7
Gretna, LA 70053-5644
Phone
(504) 366-7233
Fax
(504) 362-5529
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 074240 LA Primary

Addresses

Primary practice location

515 Westbank Expy Ste 7
Gretna, LA 70053-5644

Mailing address

515 Westbank Expy Ste 7
Gretna, LA 70053-5644
Phone (504) 366-7233

Other identifiers 1

IdentifierTypeStateIssuer
074240OtherLACERTIFICATE #

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
074240LAMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc Past Accepting new patients
Newco, Women's Medical Center PastSince Jul 25, 2005 Accepting new patients

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, 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": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1780852327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WESTBANK EXPY STE 7",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535644",
            "telephone_number": "504-366-7233",
            "fax_number": "504-362-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WESTBANK EXPY STE 7",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535644",
            "telephone_number": "504-366-7233",
            "fax_number": "504-362-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCHE",
        "first_name": "ANNETTE",
        "middle_name": "P",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "LA",
            "license": "074240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE #",
            "identifier": "074240",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.