Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phillip M Priddy, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1124108758

Phillip M Priddy, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shreveport, Louisiana. Qualified in 1993, 33 years ago. Practices with University Health Shreveport, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
33
Licensed in
LA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 675-5584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN054704 (LA)

Record details

NPI number1124108758
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESApril 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice University Health Shreveport, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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