CHRISTUS HEALTH NORTHERN LOUISIANA (NPI# 1801822762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801822762 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH NORTHERN LOUISIANA |
| Other Organization Name | CHRISTUS SCHUMPERT HEALTH SYSTEM |
| Practice Address |
1 Saint Mary Pl Shreveport LA 71101-4343 |
| Practice Telephone | 3186814500 |
| Practice Fax Number | 3186814177 |
| Mailing Telephone | 3186814500 |
| Mailing Fax Number | 3186814177 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | DR. CHARLES J. PAINE (PRESIDENT & CEO) |
| Authorized Official Telephone | 3186814500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 193 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1945897 | 05 | |
| LA | BCBS | H3938 | 01 |
| Other Name | Type Code |
|---|---|
| CHRISTUS Schumpert Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730368838 | Christus Health Northern Louisiana | Nurse Practitioner | 401 W 70th St, Shreveport, LA 71106-3034 | 2007-10-25 |
| 1457530552 | Christus Health Northern Louisiana | Nurse Practitioner | 7340 Wyngate Blvd, Shreveport, LA 71106-3920 | 2007-10-25 |
| 1356387146 | Christus Health Northern Louisiana | Rehabilitation Unit | 1035 Margaret Pl, Shreveport, LA 71101-4315 | 2006-06-21 |
| 1417950106 | Christus Health Northern Louisiana | General Acute Care Hospital | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2005-05-27 |
| 1508402546 | Christus Health Northern Louisiana | Clinic/Center | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2019-11-25 |
| 1396924486 | Christus Health Northern Louisiana | Nurse Practitioner | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2007-10-25 |
| 1932220068 | Christus Health Northern Louisiana | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-04-03 |
| 1891872966 | Christus Health Northern Louisiana | Family Medicine | 9425 Healthplex Dr, Suite 102, Shreveport, LA 71106-8148 | 2006-11-01 |
| 1306867353 | Christus Health Northern Louisiana | Pharmacy | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-07-22 |
| 1386660363 | Christus Health Northern Louisiana | Clinic/Center | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-07-14 |
| Street Address |
1 SAINT MARY PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254198 | Walter E Bounds | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2005-06-10 |
| 1083085005 | Valient Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-16 |
| 1356712509 | Sahara Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-14 |
| 1164807723 | Amy Hollis Norcross | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-07-24 |
| 1114270261 | Ghassan Fouad Hamdan | Pharmacist | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2012-10-25 |
| 1730466053 | Michelle Moore Haynie | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2011-11-15 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1902030273 | Shannon Leonnie Youngblood | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-pro Billing, Shreveport, LA 71101-4343 | 2009-05-14 |
| 1467602755 | Childrens Acute Care Inc | Pediatrics | 1 Saint Mary Pl, Box 40, Shreveport, LA 71101-4343 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1043728967 | Sarah Elizabeth Fitzhugh | Nurse Anesthetist, Certified Registered | 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 | 2018-01-12 |
| 1013386507 | Kurvis Antione Davis | Nurse Anesthetist, Certified Registered | 367 Carrollton Ave, Shreveport, LA 71105-3205 | 2015-09-15 |
| 1134519044 | Comfort Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9423 Acadiana Place Blvd, Shreveport, LA 71115-3704 | 2015-01-29 |
| 1598066599 | Kristi Rae Hylan | Nurse Anesthetist, Certified Registered | 848 Gladstone Blvd, Shreveport, LA 71104-4202 | 2010-11-06 |
| 1366773400 | Michael Jeff Lewis | Nurse Anesthetist, Certified Registered | 905 Crescent Rd, Shreveport, LA 71107-3908 | 2010-01-28 |
| 1669611463 | Kimberly Leach Grantham | Nurse Anesthetist, Certified Registered | 1171 Pelican Creek Dr, Shreveport, LA 71106-8539 | 2009-02-18 |
| 1477734820 | Red River Anesthesia Services, A.p.m.c. | Nurse Anesthetist, Certified Registered | 3217 Mabel Street, Shreveport, LA 71103-4022 | 2007-11-14 |
| 1164638474 | Gary Cornell Wilkins | Nurse Anesthetist, Certified Registered | 5850 Yarbrough, Shreveport, LA 71119 | 2007-05-15 |
| 1588750319 | Curtis James Ardoin | Nurse Anesthetist, Certified Registered | 1 St Mary Place, Pfs- Professional Billing, Shreveport, LA 71101 | 2006-10-05 |
| 1609960111 | Andrea Cariere Leazer | Nurse Anesthetist, Certified Registered | 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 | 2006-10-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.