Individual provider Active NPI

Darryl Mark Lodato, APRN-CRNA

  • Certified Registered Nurse Anesthetist
  • Mandeville, LA
National Provider Identifier
1932143260
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
40232-1818 CERT. Issued in LA
Practice address
235 Saint Ann Dr
Suite 2
Mandeville, LA 70471-3396
Phone
(985) 727-7275
Fax
(985) 727-7915
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN040232 LA
Certified Registered Nurse Anesthetist 367500000X 40232-1818 CERT. LA Primary

Addresses

Primary practice location

235 Saint Ann Dr
Suite 2
Mandeville, LA 70471-3396

Mailing address

235 Saint Ann Dr
Suite 2
Mandeville, LA 70471-3396
Phone (985) 727-7275

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

State licenses

LicenseStateTypeSpecialty
40232-1818 CERT.LAMDCertified Registered Nurse Anesthetist
RN040232LAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1932143260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SAINT ANN DR",
            "address_2": "SUITE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713396",
            "telephone_number": "985-727-7275",
            "fax_number": "985-727-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SAINT ANN DR",
            "address_2": "SUITE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713396",
            "telephone_number": "985-727-7275",
            "fax_number": "985-727-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODATO",
        "first_name": "DARRYL",
        "middle_name": "MARK",
        "credential": "APRN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN040232",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "40232-1818 CERT.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.