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
Hospital & facility affiliations 1
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
Practice addresses (Care Compare)
602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 493-4750
Hospital & facility affiliations
- Thibodaux Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP07150 | LA | MD | Certified Registered Nurse Anesthetist |
| RN122842 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| South Louisiana Medical Associates | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Associates of Bayou Region LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Associates of Louisiana | Current |
Accepting new patients | |
| Thibodaux Laser and Surgery Center, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Thibodaux Laser and Surgery Center, LLC | Current |
Accepting new patients | |
| Childrens Hospital Anesthesia Corporation | Current |
Accepting new patients | |
| South Louisiana Medical Associates | Current |
Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Nurse Anesthetist, Certified Registered | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02885383 | Medicaid | MS | |
| 2400011 | Medicaid | LA |
NPI Registry JSON
{
"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
- Angela Walker
- Ariel Walker
- Brandi Adele Walker
- Brandon James Walker
- Charnise Walker
- Crystal Walker
- Crystal Ann Walker
- Dana Christine Walker
- Danis A Walker
- Deandre Walker
All providers in New Orleans, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.