Mrs Misty D Smith, CRNA | |
620 Manassas Cir, Bossier City, LA 71112-4842 | |
(318) 458-9088 | |
Not Available |
Full Name | Mrs Misty D Smith |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 620 Manassas Cir, Bossier City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790077089 | NPI | - | NPPES |
794816 | Other | LA | LIC # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 794816 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP06370 (Louisiana) | Primary |
Entity Name | Willis Knighton Medical Center Inc Crna Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
Entity Name | Shreveport Surgery Center Ptrshp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992925135 PECOS PAC ID: 9830141597 Enrollment ID: O20050210000899 |
Entity Name | Medical Center Anesthesiologists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114 |
Entity Name | Red River Anesthesia Services, A.p.m.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477734820 PECOS PAC ID: 5092898809 Enrollment ID: O20080219000360 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Entity Name | Shreveport Sedation Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770083164 PECOS PAC ID: 3173886736 Enrollment ID: O20180412000333 |
Entity Name | University Health Shreveport, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020002548 |
Mailing Address | Practice Location Address |
---|---|
Mrs Misty D Smith, CRNA 620 Manassas Cir, Bossier City, LA 71112-4842 Ph: (318) 458-9088 | Mrs Misty D Smith, CRNA 620 Manassas Cir, Bossier City, LA 71112-4842 Ph: (318) 458-9088 |
Monica N Collinsworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Farrah Lee Baker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Dr. Colton Sedberry, DNP-A, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3418 Grand Bayou Dr, Bossier City, LA 71111 Phone: 318-210-8173 | |
Larissa S Koll, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Mr. Jon Patrick Jeffcoat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 Airline Dr, Bossier City, LA 71111 Phone: 318-549-2011 | |
Mr. Creighton K Cathey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 603 Fall Winds Cir, Bossier City, LA 71111 Phone: 318-230-3000 | |
Dr. Jarred Dewayne Sepulvado, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 605 Tunica Trl, Bossier City, LA 71111 Phone: 318-780-0329 |