{"npi":"1801822762","type":"NPI-2","status":"active","name":{"display":"Christus Health Northern Louisiana","other":[],"organization_name":"CHRISTUS HEALTH NORTHERN LOUISIANA","authorised_official":"Thomas Trawick"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"LA","license":"193"}]},"addresses":[{"purpose":"LOCATION","street_1":"1453 E BERT KOUNS INDUSTRIAL LOOP","city":"SHREVEPORT","state":"LA","postal_code":"711056800","country_code":"US","phone":"3186814500","fax":"3186814177"},{"purpose":"MAILING","street_1":"1453 E BERT KOUNS INDUSTRIAL LOOP","city":"SHREVEPORT","state":"LA","postal_code":"711056800","country_code":"US","phone":"3186814500","fax":"3186814177"}],"license":{"state":"LA","number":"193"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1945897","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"H3938","state":"LA","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060111000997","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"LA","pac_id":"8628980554"}]},"enumeration_date":"2006-06-23","last_updated":"2021-10-07","_meta":{"source":"NPPES","snapshot_date":"2021-10-07","doc_url":"https://findmynpi.com/api"}}