Individual provider Active NPI

Katherine Mefferd Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Slidell, LA
National Provider Identifier
1982868022
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN107561 Issued in LA
Practice address
636 Gause Blvd
Suite 300
Slidell, LA 70458-2007
Phone
(985) 641-8008
Fax
(985) 649-4063
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 RN107561 LA Primary

Addresses

Primary practice location

636 Gause Blvd
Suite 300
Slidell, LA 70458-2007

Mailing address

PO Box 3249
Slidell, LA 70459-3249
Phone (985) 641-8008

Other identifiers 1

IdentifierTypeStateIssuer
2142852MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000360 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698952505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northlake Anesthesiologists, a Professional CorporationGroup PAC ID 3072597681, 19 clinicians

Practice addresses (Care Compare)

1700 Lindberg Dr
Slidell, LA 70458-8062
Phone (985) 641-0600

Hospital & facility affiliations

  • Our Lady of the Lake Surgical Hospital Hospital, Slidell, LA, CCN 190270
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN107561LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Anesthesia, Inc. CurrentSince Jun 22, 2013 Accepting new patients
Northlake Anesthesiologists, a Professional Corporation CurrentSince Apr 5, 2011 Accepting new patients
A. Waring, LLC Past Accepting new patients
The Spine Management Center,LLC Past Accepting new patients

Locations

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

636 Gause Blvd
Ste 300
Slidell, LA 70458
Phone (985) 641-8008

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1982868022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704593249",
            "telephone_number": "985-641-8008",
            "fax_number": "985-649-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 GAUSE BLVD",
            "address_2": "SUITE 300",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582007",
            "telephone_number": "985-641-8008",
            "fax_number": "985-649-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHERINE",
        "middle_name": "MEFFERD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN107561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142852",
            "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 Jun 9, 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.