Shelley Kay Foutch, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100637 Issued in NE

Practice address

6901 N 72 Street
Omaha, NE 68122

Phone

(402) 572-2160

Fax

(402) 334-2849

NPI assigned

Aug 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shelley Kay Richardson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia West, P.C.

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
  • NPI 1609928233

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Memorial Community Hospital Corporation

  dba Blair Clinic

  • Clinic/Center
  • Blair, NE
  • NPI 1285767236
  NPD (past)
• Orthopaedic Anesthesia Specialists, LLC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1467492207
  NPD (past)
• Professional Anesthesia Services LLP

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1497868137
  NPD (past)
• Diagnostic & Int Med Assoc PC

  • Internal Medicine Physician
  • Council Bluffs, IA
  • NPI 1104870690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083722508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-778-9737",
            "fax_number": "402-334-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72 STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68122",
            "telephone_number": "402-572-2160",
            "fax_number": "402-334-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUTCH",
        "first_name": "SHELLEY",
        "middle_name": "KAY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100637",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D101829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "RICHARDSON",
            "middle_name": "KAY",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rolene Latosha Fountain
• Fountainhead Counseling LLC
• Afaf M Fourawi
• Jutta L Fournier, LMHP
• Emily Kay Foutch
• Amanda Fouts
• Dena Fouts
• Andreana Fowler
• Bobbie Jean Fowler, DDS
• Christine Kay Fowler, M.S CCC SLP

• Certified Registered Nurse Anesthetist in Omaha, NE
• Providers in Omaha, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.