Individual provider Active NPI

Maureen Therese Brennan, CRNA

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
National Provider Identifier
1972532257
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN039189 Issued in LA
Practice address
401 Marguerite Rd
Metairie, LA 70003-2445
Phone
(504) 736-9862
Fax
(504) 736-9862
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN039189 LA Primary

Addresses

Primary practice location

401 Marguerite Rd
Metairie, LA 70003-2445

Mailing address

401 Marguerite Rd
Metairie, LA 70003-2445
Phone (504) 736-9862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001598 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769373257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Anesthesia ConsultantsGroup PAC ID 8820470057, 22 clinicians

Practice addresses (Care Compare)

2701 Lake Villa Dr
Metairie, LA 70002-6701
Phone (504) 832-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN039189LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain & Anesthesia Consultants LLC CurrentSince Mar 20, 2015 Accepting new patients
Southern Pain & Anesthesia Consultants, LLC CurrentSince Mar 20, 2015 Accepting new patients
Jefferson Anesthesia Consultants CurrentSince May 20, 2022 Accepting new patients
Guardian Anesthesia Services, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

4633 Wichers Dr
Ste 200
Marrero, LA 70072
Phone (504) 348-0000

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

2701 Lake Villa Dr
Metairie, LA 70002
Phone (504) 274-3100

1207 N Causeway Blvd
Metairie, LA 70001
Phone (504) 832-2115

3348 W Esplanade Ave S
Ste A
Metairie, LA 70002
Phone (504) 832-2244

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

187 Ventre Blvd
Opelousas, LA 70570
Phone (337) 407-0050

Interoperability endpoints

  • Direct secure messaging: maureen.brennan.p1@direct.southernpain.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1972532257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MARGUERITE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700032445",
            "telephone_number": "504-736-9862",
            "fax_number": "504-736-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARGUERITE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700032445",
            "telephone_number": "504-736-9862",
            "fax_number": "504-736-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MAUREEN",
        "middle_name": "THERESE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN039189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.