Theresa B Vicknair (NPI# 1134100746, PAC ID# 2163614751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1134100746 |
| PAC ID by PECOS | 2163614751 |
| Professional Enrollment ID | I20101014000905 |
| Full Name | Theresa B Vicknair |
| Organization Legal Name | CHILDRENS HOSPITAL ANESTHESIA CORPORATION |
| Address |
1101 Medical Ctr Blvd Marrero LA 70072-3147 |
| Phone Number | 8662148600203 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0446152862 |
| Number of Group Practice Members | 145 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191305 | ST JAMES PARISH HOSPITAL |
| 190039 | WEST JEFFERSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 694 Belle Terre Blvd, La Place, LA 70068-1620 | 9858098068 | ZEPHYR ANESTHESIA LLC |
| 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 | 8662148600203 | CHILDRENS HOSPITAL ANESTHESIA CORPORATION |
| Organization Legal Name | CHILDRENS HOSPITAL ANESTHESIA CORPORATION |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy R Cambre | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1401 Foucher St, New Orleans, LA 70115-3515 |
| John E Covington | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Bentley A Babin | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 200 Henry Clay Ave, New Orleans, LA 70118-5720 |
| Kristi F Simon | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1401 Foucher St, New Orleans, LA 70115-3515 |
| Brandon C Brown | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1401 Foucher St, New Orleans, LA 70115-3515 |
| Will O Blankenship | Anesthesiology | Childrens Hospital Anesthesia Corporation | 1401 Foucher St, New Orleans, LA 70115-3515 |
| Ashlee N. Babst | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1401 Foucher St, New Orleans, LA 70115-3515 |
| Kimberly L Bienvenu | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 4200 Houma Blvd, Metairie, LA 70006-2970 |
| Kylie Burke | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1401 Foucher St, New Orleans, LA 70115-3515 |
| Charlene V Brouillette | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Street Address |
1101 MEDICAL CTR BLVD |
| City | MARRERO |
| State | LA |
| Zip | 70072-3147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Covington | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Fleurette W Abreo | Pathology | The Delta Pathology Group LLC | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Scott J. Acosta | Internal Medicine | New Orleans Physician Services Inc | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Lindsay W Johnson | Qualified Audiologist | Wjh Physician Services | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Sarah E Parks | Undersea and Hyperbaric Medicine | Keith Van Meter and Associates | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Charlene V Brouillette | Certified Registered Nurse Anesthetist (crna) | Childrens Hospital Anesthesia Corporation | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Kenneth C Malmstrom | Internal Medicine | New Orleans Physician Services Inc | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Charles J Ballay Ii | Otolaryngology | Wjh Physician Services | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| William P Long | Pathology | The Delta Pathology Group LLC | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Hernan Adames | Internal Medicine | New Orleans Physician Services Inc | 1101 Medical Ctr Blvd, Marrero, LA 70072-3147 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey B Gillen | Obstetrics/gynecology | New Orleans Physician Services Inc | 4513 Westbank Expressway, Marrero, LA 70072 |
| James K Ellis | Hematology/oncology | New Orleans Physician Services Inc | 4513 Westbank Expressway, Marrero, LA 70072 |
| Ahmad M Shanableh | Internal Medicine | 824 Ave F, Marrero, LA 70072-1940 | |
| Phuong T Vo | Internal Medicine | 7521 Westbank Expressway, Suite E, Marrero, LA 70072-2300 | |
| Paul C Naccari | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Jennifer Whatley Vaughn | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Scott T Newton | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Janie M Irvin | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Michelle Sierra | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Lauren M Kloepfer | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Find all physicians in zip 70072 | |||
| City | MARRERO |
| Zip Code | 70072 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MARRERO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Theresa B Vicknair.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.