Glynis A Quebedeaux, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APO4934 Issued in LA

Practice address

2495 Shreveport Hwy # 71
Pineville, LA 71360-4044

Phone

(318) 473-0010

Fax

(318) 483-5117

NPI assigned

Sep 1, 2006

Last updated

Apr 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alexandri VA Medical Center

  dba Psychiatry/Chemical Dependency

  • General Acute Care Hospital
  • Pineville, LA
  • NPI 1326123050
  NPD (past)
• Department of Veterans Affairs Medical Center

  • Long Term Care Hospital
  • Pineville, LA
  • NPI 1063594885
  NPD (past)
• Mid-Louisiana Anesthesia Consultants, Apmc

  • Anesthesiology Physician
  • Alexandria, LA
  • NPI 1205888914
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1942302179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69004",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713069004",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY # 71",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEBEDEAUX",
        "first_name": "GLYNIS",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "APO4934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Prestridge, DPT
• Prime Care Transportation LLC
• David Puckett
• Kristi Wilmore Pugh, L.C.S.W.
• Teresa Lynn Pullig
• R and R Medical Supply, Inc.
• R J and R Medical Supply Inc.
• Kristi Paul Rachal, LCSW-BACS
• Troy J. Raffield, PH.D.
• James G Ralston, MD

• Certified Registered Nurse Anesthetist in Pineville, LA
• Providers in Pineville, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.