Active NPI
Mary Coon, CRNA
- Certified Registered Nurse Anesthetist
- Metairie, LA
National Provider Identifier
1801019690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP02679
- Practice address
- 3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531 - Phone
- (504) 779-5515
- Fax
- (504) 779-5568
- NPI assigned
- Apr 10, 2007
- 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 | AP02679 | LA | Primary |
Addresses
Primary practice location
3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Mailing address
255 West Michigan Avenue
Jackson, MI 49204-1123
Phone (517) 787-6440
Other names 1
- Mary Kuluz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Gulfport, MS
- NPI 1548696925
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1801019690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 WEST MICHIGAN AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492041123",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD",
"address_2": "SUITE 404",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-779-5515",
"fax_number": "504-779-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "MARY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP02679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "KULUZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.