DAMON FORTENBERRY (NPI# 1790788214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788214 |
| Entity Type | Individual |
| Full Name | DAMON FORTENBERRY |
| Credential | CRNA |
| Practice Address |
1001 Gause Blvd Slidell LA 70458-2939 |
| Mailing Address |
120 Innwood Dr Covington LA 70433-9123 |
| Practice Telephone | 9856498767 |
| Mailing Telephone | 9858923225 |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2009-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN073334 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1107042 | 05 |
| Street Address |
1001 GAUSE BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879139 | Kraig S De Lanzac | Anesthesiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2005-05-30 |
| 1427680438 | Ernest Terry | Pharmacist | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2020-02-07 |
| 1700431202 | Ochsner Clinic LLC | Clinic/Center | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2019-08-02 |
| 1578122180 | Andrea Marie Miller Benefield | Nurse Practitioner | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2019-06-07 |
| 1396223749 | Abby Marie Moody | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-07-29 |
| 1003318007 | Laura Janette Pichon | Nurse Practitioner | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-03-06 |
| 1720589690 | Joel Eldon Bilbo | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458 | 2018-02-26 |
| 1467968156 | William Cody Jenkins | Registered Nurse | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2017-12-18 |
| 1003202128 | Michael Nguyen | Family Medicine | 1001 Gause Blvd, Slidell, LA 70458 | 2015-04-15 |
| 1144627316 | Jennifer S Stauter | Registered Nurse | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2014-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
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| 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 |
|---|---|---|---|---|
| 1972541308 | Jay Buras | Nurse Anesthetist, Certified Registered | 1608 Cuttysark Cv, Slidell, LA 70458-6206 | 2006-06-04 |
| 1801849625 | Verna Sherman Age | Nurse Anesthetist, Certified Registered | 58305 Jefferson Ave, Slidell, LA 70460-3814 | 2006-05-19 |
| 1710970678 | Adrienne Bernhard | Nurse Anesthetist, Certified Registered | 985 Robert Blvd, Slidell, LA 70458-2063 | 2005-08-25 |
| 1477552180 | Christian David Trahan | Nurse Anesthetist, Certified Registered | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2005-07-15 |
| 1871118125 | S Wheat Anesthesia Services | Nurse Anesthetist, Certified Registered | 520 Clayton Ct, Slidell, LA 70461-5710 | 2020-06-12 |
| 1396223749 | Abby Marie Moody | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-07-29 |
| 1720589690 | Joel Eldon Bilbo | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458 | 2018-02-26 |
| 1861935686 | Courtney Archie | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2016-11-28 |
| 1437603487 | Stephanie Elizabeth Sanvi | Nurse Anesthetist, Certified Registered | 636 Gause Blvd, Suite 300, Slidell, LA 70458-2007 | 2016-08-08 |
| 1578944336 | Adrienne Goodwin | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2015-06-17 |
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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.