Individual provider Active NPI

Richard Scott Conley, CRNA

  • Certified Registered Nurse Anesthetist
  • Rosebud, SD
National Provider Identifier
1174557755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
256 Issued in AK
Practice address
400 Soldier Creek Road
Rosebud, SD 57570
Phone
(605) 747-2231
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 256 AK Primary

Addresses

Primary practice location

400 Soldier Creek Road
Rosebud, SD 57570

Mailing address

PO Box 773523
Eagle River, AK 99577-3523
Phone (907) 622-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
256AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Anesthesia Group PastSince Jun 1, 2001 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
Chugach Anesthesia, LLC PastSince Dec 17, 2012 Accepting new patients
Kenai Peninsula Anesthesia, LLC Past Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174557755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773523",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995773523",
            "telephone_number": "907-622-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOLDIER CREEK ROAD",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "57570",
            "telephone_number": "605-747-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

  • 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.