Individual provider Active NPI

Elizabeth D'Antonio La Salle, CRNA

  • Certified Registered Nurse Anesthetist
  • Hammond, LA
National Provider Identifier
1922203579
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN098142 Issued in LA
Practice address
42570 S Airport Rd
Hammond, LA 70403-0946
Phone
(985) 510-6135
Fax
(985) 510-6202
NPI assigned
Jun 15, 2007
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN098142 LA Primary

Addresses

Primary practice location

42570 S Airport Rd
Hammond, LA 70403-0946

Mailing address

PO Box 20452
Yps-Credentialing
Columbus, OH 43220-0452
Phone (614) 442-2406

Other identifiers 2

IdentifierTypeStateIssuer
1024228MedicaidLA
P01023462OtherLARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000521 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921191438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

42570 S Airport Rd
Hammond, LA 70403-0946
Phone (985) 510-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN098142LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2011 Accepting new patients
Parish Anesthesia Associates, LTD Apmc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

42570 S Airport Rd
Hammond, LA 70403
Phone (985) 510-6135

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

989 Robert Blvd
Slidell, LA 70458
Phone (985) 690-8200

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1922203579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "YPS-CREDENTIALING",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-442-2406",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42570 S AIRPORT RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030946",
            "telephone_number": "985-510-6135",
            "fax_number": "985-510-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SALLE",
        "first_name": "ELIZABETH",
        "middle_name": "D'ANTONIO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN098142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024228",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01023462",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.

Verify at the official NPI Registry.