Active NPI
Trace M Juneau, CRNA
- Certified Registered Nurse Anesthetist
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 230430
- Practice address
- 201 Mable St
Thibodaux, LA 70301-4013 - Phone
- (985) 859-0884
- NPI assigned
- Aug 14, 2020
- Last updated
- Jun 7, 2023
- Sex
- Male
- 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 | 230430 | LA | Primary |
Addresses
Primary practice location
201 Mable St
Thibodaux, LA 70301-4013
Mailing address
201 Mable St
Thibodaux, LA 70301-4013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Saint Bernard St
Thibodaux, LA 70301-6549
Phone (985) 447-7246
402 Dunn St
Houma, LA 70360-4704
Phone (985) 872-1661
602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 493-4750
8120 Main St
Houma, LA 70360-3403
8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- Quality
- 67.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230430 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Laser and Surgery Center, LLC | Current | Accepting new patients | |
| Thibodaux Laser and Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Physician Practice Partners | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| South Louisiana Medical Associates | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Louisiana Medical Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Past | Accepting new patients |
Locations
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
402 Dunn St
Houma, LA 70360
Phone (985) 872-1661
8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960
8166 Main St
Houma, LA 70360
Phone (800) 456-9121
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Houma, LA
- NPI 1326598434
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Thibodaux, LA
- NPI 1275535148
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
-
- Anesthesiology Physician
- Houma, LA
- NPI 1679157887
-
- Surgery Physician
- Houma, LA
- NPI 1942301379
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Houma, LA
- NPI 1699218131
-
- Ambulatory Surgical Clinic/Center
- Thibodaux, LA
- NPI 1073505616
-
dba Thibodaux Regional Multi-Specialty Clinic-Raceland
- Multi-Specialty Clinic/Center
- Raceland, LA
- NPI 1497348379
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
-
dba Thibodaux Regional Radiology
- Diagnostic Radiology Physician
- Thibodaux, LA
- NPI 1467427336
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Terrebonne General Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1841801545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MABLE ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MABLE ST",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014013",
"telephone_number": "985-859-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNEAU",
"first_name": "TRACE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "230430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.