Active NPI
Thomas J Fontenot, CRNA
- Certified Registered Nurse Anesthetist
- Carencro, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN065361
- Practice address
- 202 Rue Bordeaux
Carencro, LA 70520-4328 - Phone
- (337) 298-5937
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | RN065361 | LA | Primary |
Addresses
Primary practice location
202 Rue Bordeaux
Carencro, LA 70520-4328
Mailing address
202 Rue Bordeaux
Carencro, LA 70520-4328
Phone (337) 298-5937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1654574 | Medicaid | LA |
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5784
Phone (337) 988-5646
2309 E Main St
Suite 300
New Iberia, LA 70560-4046
Phone (337) 560-9622
3501 Hwy 190
Eunice, LA 70535-5129
Phone (337) 468-2767
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018937 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology & Pain Consultants, LLC | Current | Accepting new patients | |
| Sanford Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mid-Louisiana Anesthesia Consultants, Apmc | Past | Accepting new patients | |
| Professional Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Doctors Anesthesia | Past | Accepting new patients |
Locations
3448 Highway 190
Eunice, LA 70535
Phone (337) 546-6237
4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119
120 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 233-6665
1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041
314 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 330-2051
4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119
1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775
1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546
2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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
- Lafayette, LA
- NPI 1841287901
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Eunice, LA
- NPI 1386681278
-
- Certified Registered Nurse Anesthetist
- Carencro, LA
- NPI 1114267945
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Opelousas, LA
- NPI 1710980065
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1326064742
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1215996632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902913726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 RUE BORDEAUX",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705204328",
"telephone_number": "337-298-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 RUE BORDEAUX",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705204328",
"telephone_number": "337-298-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN065361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1654574",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carencro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.