KOURTNEY L LEWIS (NPI# 1376709311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376709311 |
| Entity Type | Individual |
| Full Name | KOURTNEY L LEWIS |
| Credential | CRNA |
| Practice Address |
309 Jackson St Monroe LA 71201 |
| Mailing Address |
309 Jackson St Monroe LA 71201-7407 |
| Practice Telephone | 3189664190 |
| Mailing Telephone | 3189664190 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | AP05530 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367H00000X | Anesthesiologist Assistant | AP05530 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1415 Tulane Ave, Hc-71, New Orleans, LA 701122600 | 5049883290 | 5049886216 |
| Street Address |
309 JACKSON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524367 | Stephen Paul Blanchard Sr. | Pathology | 309 Jackson St, Monroe, LA 71201-7407 | 2005-08-10 |
| 1255949921 | Shannon L Moe | Registered Nurse | 309 Jackson St, Monroe, LA 71201-7407 | 2020-07-20 |
| 1134756539 | Carolinska Health Corporation | Family Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2020-03-25 |
| 1649833583 | Ken Gremillion | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-16 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1295216018 | Andrew Michael Fontenot | Pharmacist | 309 Jackson St, Monroe, LA 71201-7407 | 2018-08-29 |
| 1982180337 | Amber Brooke Etheridge | Registered Nurse | 309 Jackson St, Monroe, LA 71201 | 2018-07-18 |
| 1578070363 | Fmol Health Systems | Pharmacy | 309 Jackson St, Floor 1, Monroe, LA 71201-7407 | 2018-01-03 |
| 1104336460 | Harikrishna Bandla | Internal Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2017-10-01 |
| 1285156760 | Trisandhya Sharma | Hospitalist | 309 Jackson St, Monroe, LA 71201-7407 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093171951 | Crna of Baton Rouge LLC | Anesthesiologist Assistant | 7855 Howell Blvd, Baton Rouge, LA 70807-5256 | 2016-01-07 |
| 1629202940 | Marianne Kubert | Anesthesiologist Assistant | 4324 Veterans Memorial Blvd, Metairie, LA 70006-5445 | 2009-05-14 |
| 1619099306 | Robert Mcbride | Anesthesiologist Assistant | 5253 Dijon Dr, Suite A, Baton Rouge, LA 70808-4312 | 2007-04-04 |
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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.