Active NPI
Tiffiney L Lavergne, CRNA
- Certified Registered Nurse Anesthetist
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R873703
- Practice address
- 215 Marion Ave
McComb, MS 39648-2705 - Phone
- (601) 249-1183
- Fax
- (601) 249-1709
- NPI assigned
- Jun 20, 2008
- 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 | R873703 | MS | Primary |
Addresses
Primary practice location
215 Marion Ave
McComb, MS 39648-2705
Mailing address
215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-1183
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
52579 Hwy 51 S
Independence, LA 70443-2231
Phone (985) 878-1349
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R873703 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Total Anesthesia Care STPH, LLC | Current | Accepting new patients | |
| Lallie Kemp Medical Ctr | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lallie Kemp Medical Ctr | Current | Accepting new patients |
Locations
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
120 Innwood Dr
Covington, LA 70433
42570 S Airport Rd
Hammond, LA 70403
Phone (985) 510-6135
52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Independence, LA
- NPI 1558303420
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Covington, LA
- NPI 1669475190
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Independence, LA
- NPI 1972545846
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, LA
- NPI 1366767774
-
- Critical Access Hospital
- Independence, LA
- NPI 1083661409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1861653941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482705",
"telephone_number": "601-249-1183",
"fax_number": "601-249-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482705",
"telephone_number": "601-249-1183",
"fax_number": "601-249-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERGNE",
"first_name": "TIFFINEY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R873703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.