Active NPI
Patricia J Lane, CRNA
- Certified Registered Nurse Anesthetist
- Slidell, LA
National Provider Identifier
1952349383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041120
- Practice address
- 100 Medical Center Drive
Slidell, LA 70461-5520 - Phone
- (985) 626-7631
- NPI assigned
- Jun 4, 2006
- 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 | 041120 | LA | Primary |
Addresses
Primary practice location
100 Medical Center Drive
Slidell, LA 70461-5520
Mailing address
100 Medical Center Drive
Slidell, LA 70461-5520
Phone (985) 649-7070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04526866 | Medicaid | MS | |
| 1910210 | Medicaid | LA | |
| 041120 | Other | LA | ADVANCED PRACTICE |
| 41120 | Other | LA | RN LICENSE |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041120 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Anesthesia, Inc. | Past | Accepting new patients | |
| Meadowcrest Multi-Specialty Clinic, LLC | Past | Accepting new patients | |
| Anesthesia East Inc | Past | Accepting new patients | |
| Louisiana Anesthesia Partners, LLC | Past | Accepting new patients |
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.
-
dba Medical Billing Company of Louisiana
- Anesthesiology Physician
- New Orleans, LA
- NPI 1942209457
-
- Anesthesiology Physician
- Slidell, LA
- NPI 1720237209
-
- Diagnostic Radiology Physician
- Gretna, LA
- NPI 1538180187
-
- Anesthesiology Physician
- Mandeville, LA
- NPI 1225227556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1952349383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DRIVE",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615520",
"telephone_number": "985-649-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DRIVE",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615520",
"telephone_number": "985-626-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "041120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04526866",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1910210",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE",
"identifier": "041120",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "41120",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.