Individual provider Active NPI

Laterrica A Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Marrero, LA
National Provider Identifier
1982991360
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP06489 Issued in LA
Practice address
1111 Medical Center Blvd Ste S450
Marrero, LA 70072
Phone
(504) 349-6401
Fax
(504) 349-6444
NPI assigned
Jul 6, 2011
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP06489 LA Primary
Registered Nurse 163W00000X RN116256 LA

Addresses

Primary practice location

1111 Medical Center Blvd Ste S450
Marrero, LA 70072

Mailing address

5845 Colbert St
New Orleans, LA 70124-2801
Phone (225) 939-4693

Other identifiers 1

IdentifierTypeStateIssuer
2161377MedicaidLA

Other names 1

  • Laterrica D Antoine Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000811 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688846488 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN116256LAMDRegistered Nurse
AP06489LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2013 Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Jun 1, 2017 Accepting new patients
Diversified Professionals, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

7777 Hennessy Blvd
Ste 5000
Baton Rouge, LA 70808
Phone (225) 214-6688

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

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

1111 Medical Center Blvd
Ste S460
Marrero, LA 70072
Phone (504) 265-9582

3333 Kingman St
Ste 202
Metairie, LA 70006
Phone (504) 208-1540

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

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

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

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

2820 Napoleon Ave
Ste 700
New Orleans, LA 70115
Phone (504) 412-1310

Organizations & group practices 5

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1982991360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 COLBERT ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242801",
            "telephone_number": "225-939-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE S450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6401",
            "fax_number": "504-349-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LATERRICA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06489",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN116256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161377",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATERRICA",
            "last_name": "ANTOINE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.