JACQUELINE BROCKHOEFT (NPI# 1669504379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669504379 |
| Entity Type | Individual |
| Full Name | JACQUELINE BROCKHOEFT |
| Credential | CRNA |
| Practice Address |
2525 Severn Ave Metairie LA 70002-5932 |
| Practice Telephone | 5048324200 |
| Practice Fax Number | 5043785121 |
| Mailing Telephone | 5048324200 |
| Mailing Fax Number | 5043785121 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN059884 | LA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN059884 AP04027 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2525 SEVERN AVE |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-5932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265480453 | Alan Stolier, Md, LLC | Surgery | 2525 Severn Ave, Metairie, LA 70002-5932 | 2006-05-04 |
| 1295095735 | Gitter Vein Institute | Surgery | 2525 Severn Ave, Metairie, LA 70002-5932 | 2012-05-17 |
| 1194910380 | Omega Hospital Staff | Registered Nurse | 2525 Severn Ave, Metairie, LA 70002-5932 | 2007-09-11 |
| 1538353859 | Lacey Spiers | Registered Nurse | 2525 Severn Ave, Metairie, LA 70002-5932 | 2007-08-29 |
| 1417141730 | Susan Norton | Registered Nurse | 2525 Severn Ave, Metairie, LA 70002-5932 | 2007-08-29 |
| 1417141748 | Edward Savois IIi | Registered Nurse | 2525 Severn Ave, Metairie, LA 70002-5932 | 2007-08-29 |
| 1083804603 | Gigi Weigel | Registered Nurse | 2525 Severn Ave, Metairie, LA 70002-5932 | 2007-07-30 |
| 1982738696 | Lisa King | Registered Nurse | 2525 Severn Ave, Metairie, LA 70002-5932 | 2007-03-15 |
| 1225187834 | Warren W Roesch | Registered Nurse | 2525 Severn Ave, Omega Hospital, Metairie, LA 70002-5932 | 2007-01-10 |
| 1609982651 | Surgical Specialists of La | Specialist | 2525 Severn Ave, Metairie, LA 70002-5932 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1871039057 | Kenneth Clayton | Nurse Anesthetist, Certified Registered | 1201 Highland Ave, Metairie, LA 70001-5626 | 2017-01-12 |
| 1356897698 | Trey Gorham | Nurse Anesthetist, Certified Registered | 3900 N Causeway Blvd #625, Metairie, LA 70002 | 2016-08-28 |
| 1659710697 | David Benjamin Krobert | Nurse Anesthetist, Certified Registered | 1520 Brockenbraugh St, Metairie, LA 70005-3715 | 2013-06-24 |
| 1346448420 | Shola Michelle Prevost | Nurse Anesthetist, Certified Registered | 3901 N. I-10 Service Rd. Apt. F 147, Metairie, LA 70002 | 2007-07-10 |
| 1396839924 | Joshua Burton Davidson | Nurse Anesthetist, Certified Registered | 3510 N. Causeway Blvd, Metairie, LA 70002 | 2006-10-03 |
| 1972532257 | Maureen Therese Brennan | Nurse Anesthetist, Certified Registered | 401 Marguerite Rd, Metairie, LA 70003-2445 | 2006-06-30 |
| 1396788816 | Debra A Mercier | Nurse Anesthetist, Certified Registered | 3000 Tolmas Dr, Metairie, LA 70002-5030 | 2006-06-13 |
| 1750346391 | Daryl Ann Owens | Nurse Anesthetist, Certified Registered | 649 Rosa Ave, Metairie, LA 70005-2812 | 2006-04-18 |
| Find all providers in METAIRIE | ||||
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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.