MR. ROBERT ELLIS BROUILLETTE (NPI# 1396894689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396894689 |
| Entity Type | Individual |
| Full Name | MR. ROBERT ELLIS BROUILLETTE |
| Credential | CRNA |
| Practice Address |
1057 Paul Maillard Rd Luling LA 70070-4349 |
| Mailing Address |
5024 Toby Ln Kenner LA 70065-3262 |
| Practice Telephone | 9857856242 |
| Mailing Telephone | 5044569958 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN041094APO1427 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1904765 | 05 |
| Street Address |
1057 PAUL MAILLARD RD |
| City | LULING |
| State | LA |
| Zip Code | 70070-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716637 | Hospital Service Dist. No. 1 of The Parish of St. Charles, State of La | Psychiatric Unit | 1057 Paul Maillard Rd, Luling, LA 70070 | 2005-11-11 |
| 1447728019 | Casey A Rahaley | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2018-11-13 |
| 1316481021 | Southern Kidney Specialists, LLC | Internal Medicine | 1057 Paul Maillard Rd, Suite 210, Luling, LA 70070-4349 | 2016-12-14 |
| 1942657192 | Jessica L Adams | Registered Nurse | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-05-18 |
| 1972957116 | Y'annika Anjane' Edwards | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-13 |
| 1619331089 | Asfiya Yunus | Family Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-11 |
| 1750767927 | Mindy Gaubert Hymel | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1447636626 | Nathaly Carrion | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1528446101 | Luling Emergency Group LLC | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-05-14 |
| 1033506027 | Amber Lewis | Nurse Practitioner | 1057 Paul Maillard Rd, Ste. D-1900, Luling, LA 70070-4349 | 2015-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| 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 |
|---|---|---|---|---|
| 1891832002 | Charlene B Stamps | Nurse Anesthetist, Certified Registered | St. Charles Parish Hospital, 1057 Paul Maillard Rd., Luling, LA 70070 | 2007-01-30 |
| 1891730909 | Patricia P Marse | Nurse Anesthetist, Certified Registered | 24 E Levert Dr, Luling, LA 70070-3126 | 2006-06-20 |
| 1417192519 | Seton Family of Hospitals | Nurse Anesthetist, Certified Registered | 130 Hays St, Luling, TX 78648-3207 | 2008-12-04 |
| 1063457885 | Toni Annette Bork | Nurse Anesthetist, Certified Registered | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2006-06-17 |
| 1659319580 | Easter Anesthesia Staffing Inc | Nurse Anesthetist, Certified Registered | 130 Hays St, Luling, TX 78648-3207 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132686 | Lori Ann Guidry | Nurse Anesthetist, Certified Registered | 800 Rosa Ave, Metairie, LA 70005-2128 | 2020-04-04 |
| 1003445198 | Carolyn Smith Mccord | Nurse Anesthetist, Certified Registered | 1200 Nursery Ave, Metairie, LA 70005-2326 | 2020-04-02 |
| 1417588724 | Brittney Clark | Nurse Anesthetist, Certified Registered | 3501 Us 190, Euince, LA 70535 | 2020-01-27 |
| 1982257283 | Thu T Dang | Nurse Anesthetist, Certified Registered | 838 S Clearview Pkwy Apt 257, River Ridge, LA 70123-6342 | 2019-07-17 |
| 1558853713 | Jarrod Ratliff | Nurse Anesthetist, Certified Registered | 29170 S Redwood Dr, Denham Springs, LA 70726-3146 | 2018-06-04 |
| 1043728967 | Sarah Elizabeth Fitzhugh | Nurse Anesthetist, Certified Registered | 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 | 2018-01-12 |
| 1770004871 | Pointe Coupee Anesthesia Team LLC | Nurse Anesthetist, Certified Registered | 14285 Waterloo Dr Ste A, Ventress, LA 70783-4104 | 2017-06-29 |
| 1619408192 | Vannasinh Panyanouvong | Nurse Anesthetist, Certified Registered | 107 Young Oak Dr, Lafayette, LA 70507-3205 | 2017-03-25 |
| 1548707011 | Kristen Mccann | Nurse Anesthetist, Certified Registered | 216 N Alexander St, New Orleans, LA 70119-4504 | 2017-01-23 |
| 1871039057 | Kenneth Clayton | Nurse Anesthetist, Certified Registered | 1201 Highland Ave, Metairie, LA 70001-5626 | 2017-01-12 |
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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.