Active NPI
Laura S Bonanno, CRNA
- Certified Registered Nurse Anesthetist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN60200
- Practice address
- 1542 Tulane Ave
New Orleans, LA 70112-2865 - Phone
- (877) 271-4597
- NPI assigned
- May 9, 2007
- Last updated
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN60200 | LA | Primary |
Addresses
Primary practice location
1542 Tulane Ave
New Orleans, LA 70112-2865
Mailing address
1542 Tulane Ave
New Orleans, LA 70112-2865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN60200 | Other | LA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60200 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Childrens Hospital Anesthesia Corporation | Past | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
1111 Medical Center Blvd
Ste N302
Marrero, LA 70072
Phone (504) 349-6302
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1580
103 Medical Center Dr
Slidell, LA 70461
Phone (985) 646-4466
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.
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
dba University Medical Center New Orleans
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
dba LCMC Anesthesia
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1780898866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122865",
"telephone_number": "877-271-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONANNO",
"first_name": "LAURA",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN60200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RN60200",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.