Cody Michael Walker, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · New Orleans, LA

NPI 1962740423 · NPPES record last updated Sep 6, 2013

Key facts

NPI
1962740423
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
AP07150 (LA)
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-3755
Fax
(504) 842-2036
NPI assigned
Jan 17, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development Corporation (138 clinicians)

Practice addresses (Care Compare)

602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 493-4750

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital · Thibodaux, LA · CCN 190004

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130218000167 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880848043 Reassigns benefits to 9 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP07150LAMDCertified Registered Nurse Anesthetist
RN122842LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Current
since Jan 1, 2022
Accepting new patients
Ochsner Clinic LLC Current
since Feb 4, 2013
Accepting new patients
Ochsner Clinic LLC Current
since Feb 4, 2013
Accepting new patients
South Louisiana Medical Associates Nurse Anesthetist, Certified Registered Current
since Jun 24, 2013
Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered Current
since Nov 7, 2023
Accepting new patients
Anesthesia Associates of Bayou Region LLC Nurse Anesthetist, Certified Registered Current
since May 25, 2021
Accepting new patients
Anesthesia Associates of Louisiana Current
since Mar 1, 2022
Accepting new patients
Thibodaux Laser and Surgery Center, LLC Nurse Anesthetist, Certified Registered Current
since Jun 1, 2020
Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered Current
since Jul 1, 2016
Accepting new patients
Thibodaux Laser and Surgery Center, LLC Current
since Jun 1, 2020
Accepting new patients
Childrens Hospital Anesthesia Corporation Current
since Jun 26, 2023
Accepting new patients
South Louisiana Medical Associates Current
since Jun 24, 2013
Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation Nurse Anesthetist, Certified Registered Current
since Jan 1, 2022
Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

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

1101 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 233-8603

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

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

1514 Jefferson Hwy
New Orleans, LA 70121

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1516 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 833-2337

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

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

1101 Audubon Ave
Ste S4
Thibodaux, LA 70301
Phone (985) 447-7246

604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN122842 LA
Certified Registered Nurse Anesthetist 367500000X AP07150 LA Yes

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3755

Other identifiers

IdentifierTypeStateIssuer
02885383MedicaidMS
2400011MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 6, 2013.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1962740423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3755",
            "fax_number": "504-842-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3755",
            "fax_number": "504-842-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN122842",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP07150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02885383",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400011",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

All providers in New Orleans, LA · Certified Registered Nurse Anesthetist in Louisiana

Sources for this page

Verify at the official NPI Registry.