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

Theresa Bourg Vicknair, CRNA

Individual provider Registered Nurse · NPI 1134100746

Theresa Bourg Vicknair, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lutcher, Louisiana. Qualified in 1987, 39 years ago. Practices with Zephyr Anesthesia LLC, a 169-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
39
Licensed in
LA
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

St James Parish Hosipital Louisiane Ave
Lutcher, LA 70071
Phone: (225) 869-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP01519 (LA)
Registered Nurse Taxonomy 163W00000X · Licence RN059871 (LA)

Record details

NPI number1134100746
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Zephyr Anesthesia Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lutcher