MISTY BOUDREAUX (NPI# 1023417722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023417722 |
| Entity Type | Individual |
| Full Name | MISTY BOUDREAUX |
| Practice Address |
180 W Esplanade Ave Kenner LA 70065-2467 |
| Mailing Address |
6875 West End Blvd New Orleans LA 70124 |
| Practice Telephone | 5044688600 |
| Mailing Telephone | 5046551012 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP07975 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2373234 | 05 | |
| MS | 07984823 | 05 |
| Street Address |
180 W ESPLANADE AVE |
| City | KENNER |
| State | LA |
| Zip Code | 70065-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474084 | George Nick Guzzardo Jr. | Emergency Medicine | 180 W Esplanade Ave, Emergency Department, Kenner, LA 70065-2467 | 2005-08-23 |
| 1093332702 | Armando Alvarez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-06-29 |
| 1619505419 | Kayla Gonzalez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-03-29 |
| 1790324655 | Chastity L Boudreaux | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-12-24 |
| 1699321703 | Extreme Environmental Medicine, LLC | Emergency Medicine | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-08-14 |
| 1376198614 | Jacob Michael Shaw | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-08-05 |
| 1770145161 | Aimee Hodnett | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-07-05 |
| 1053895045 | N'jeri Kai Dixon | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2018-09-17 |
| 1942703152 | Kristin Stein | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065 | 2018-03-14 |
| 1548769946 | Jaime Leigh Ndandu | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2018-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326420191 | Rachel Poolson Penton | Nurse Anesthetist, Certified Registered | 5413 Toby Ln, Kenner, LA 70065-2347 | 2015-06-29 |
| 1659344703 | Alan Mckim Holtzman | Nurse Anesthetist, Certified Registered | 5409 Cocos Plumosas Dr, Kenner, LA 70065-1521 | 2006-02-09 |
| 1033180997 | Charlene V Brouillette | Nurse Anesthetist, Certified Registered | 5024 Toby Ln, Kenner, LA 70065-3262 | 2006-01-30 |
| 1497739353 | Christoper Sellers | Nurse Anesthetist, Certified Registered | 5512 Janice Ave, Kenner, LA 70065-1540 | 2005-12-05 |
| 1770145161 | Aimee Hodnett | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-07-05 |
| 1922408962 | Carrie T Vargas | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2014-08-27 |
| 1033528567 | Dana Pierce | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2014-08-08 |
| 1134537459 | Jonah Parker Borskey | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2014-07-30 |
| 1003170812 | Wendy Lynn Cambre | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2012-06-26 |
| 1457652877 | Jeffrey C Lombard | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2010-11-17 |
| Find all providers in KENNER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.