Active NPI
John W. Stickney, CRNA
- Certified Registered Nurse Anesthetist
- Lake Charles, LA
National Provider Identifier
1861464133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP2064
- Practice address
- 211 Senator LN
Lake Charles, LA 70611-5339 - Phone
- (337) 855-3231
- NPI assigned
- Feb 2, 2006
- 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 | AP2064 | LA | Primary |
Addresses
Primary practice location
211 Senator LN
Lake Charles, LA 70611-5339
Mailing address
211 Senator LN
Lake Charles, LA 70611-5339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1392316 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2064 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients | |
| West Cal Anesthesia Associates | Past | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients | |
| Sheridan Healthcare of Louisiana Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Med-Trans Corporation | Past | Accepting new patients | |
| Anesthesia Associates | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Bahec LLC | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1356462311
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1518940063
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1720109788
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
-
- Anesthesiology Physician
- Webster, TX
- NPI 1497079701
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1861464133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SENATOR LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706115339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SENATOR LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706115339",
"telephone_number": "337-855-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKNEY",
"first_name": "JOHN",
"middle_name": "W.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP2064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1392316",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.