Elizabeth Diana Gentry - Breen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

060857 Issued in LA

Practice address

4864 Jackson St
Monroe, LA 71202-6400

Phone

(318) 330-7626

Fax

(318) 330-7648

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Diana Gentry - Breen Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lsu Health Sciences Center Shreveport Faculty Group PracticeGroup PAC ID 4082902721, 567 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment Care Compare group NPD
• Brfhh Monroe LLC

  • Internal Medicine Physician
  • Monroe, LA
  • NPI 1811324882
  Medicare reassignment NPD
• Endoscopy Center of Monroe

  • Ambulatory Surgical Clinic/Center
  • Monroe, LA
  • NPI 1417957796
  Medicare reassignment NPD
• Joseph E Humble and Raymond Haik, PTRS

  • Ophthalmology Physician
  • West Monroe, LA
  • NPI 1336178482
  Medicare reassignment NPD
• Endoscopy Center of Monroe

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
  • NPI 1437658275

  Nurse Anesthetist, Certified Registered

  NPD
• Joseph E Humble and Raymond Haik, PTRS

  • Eyewear Supplier
  • Rayville, LA
  • NPI 1154976157
  NPD
• Fontenot & McIntosh, LLC

  • Anesthesiology Physician
  • West Monroe, LA
  • NPI 1023062718

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Smso Anesthesia, LLC

  • Anesthesiology Physician
  • Monroe, LA
  • NPI 1730134636
  NPD (past)
• Twin City Anesthesia

  • Specialist
  • West Monroe, LA
  • NPI 1427080480
  NPD (past)
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Brfhh Monroe LLC

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1215939210
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1992850929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7626",
            "fax_number": "318-330-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7626",
            "fax_number": "318-330-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY - BREEN",
        "first_name": "ELIZABETH",
        "middle_name": "DIANA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "060857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955710",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GENTRY - BREEN",
            "middle_name": "DIANA",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gentle Touch Services Inc
• Gentle Touch Services Inc
• Gentle Touch Services Inc
• Gentle Touch Services Inc
• Gentle Touch Services Inc
• Cari George
• Cheryl George
• Donna J George, L.P.C.-S
• Kimberly Lynn George, NP
• Victoria A. George

• Certified Registered Nurse Anesthetist in Monroe, LA
• Providers in Monroe, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.