MR. DAVID MICHAEL BOUDREAUX (NPI# 1063494722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063494722 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL BOUDREAUX |
| Credential | CRNA |
| Practice Address |
902 N Hennessey St New Orleans LA 70119-3622 |
| Practice Telephone | 5044881409 |
| Practice Fax Number | 5044833277 |
| Mailing Telephone | 5044881409 |
| Mailing Fax Number | 5044833277 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9285473 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 031963 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN036422 APO2191 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 199945001 | 05 | |
| LA | 1901741 | 05 | |
| FL | 001751800 | 05 | |
| TX | RAILROAD MEDICARE | P00731625 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501869 | David J Boudreaux | Psychologist | 10770 N 46th St Bldg E, Tampa, FL 33617-3442 | 2017-07-20 |
| 1982664371 | David A Boudreaux | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| Street Address |
902 N HENNESSEY ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| 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 |
|---|---|---|---|---|
| 1548707011 | Kristen Mccann | Nurse Anesthetist, Certified Registered | 216 N Alexander St, New Orleans, LA 70119-4504 | 2017-01-23 |
| 1154739522 | Catherine Hays Harris | Nurse Anesthetist, Certified Registered | 1521 S Carrollton Ave, New Orleans, LA 70118-2823 | 2014-07-29 |
| 1386085421 | Charles Clayton Prather | Nurse Anesthetist, Certified Registered | 765 French St, New Orleans, LA 70124-3057 | 2013-07-16 |
| 1578813424 | Candis Dawn Reily | Nurse Anesthetist, Certified Registered | 522 Montegut St, Apt 215, New Orleans, LA 70117-7384 | 2012-09-18 |
| 1487937223 | Alva Denise Farnell | Nurse Anesthetist, Certified Registered | 4926 S Tonti St, New Orleans, LA 70125-4744 | 2011-09-27 |
| 1881858603 | Michael E Palm | Nurse Anesthetist, Certified Registered | 1541 Tulane Ave Ste 505, New Orleans, LA 70112-2821 | 2008-07-10 |
| 1649303538 | Gena M Mckenzie | Nurse Anesthetist, Certified Registered | 938 Valence St, New Orleans, LA 70115-2853 | 2007-03-13 |
| 1770633646 | John Edward Aiken I | Nurse Anesthetist, Certified Registered | 1315 Vignaud St, New Orleans, LA 70119-3109 | 2007-01-11 |
| 1144380395 | Gayle H. Martin | Nurse Anesthetist, Certified Registered | 7608 Willow St, New Orleans, LA 70118-4052 | 2006-12-11 |
| 1083780142 | Kenneth J Steele | Nurse Anesthetist, Certified Registered | 2604 Calhoun St, New Orleans, LA 70118-6306 | 2006-11-28 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
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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.