Active NPI
Jason D Richmond, CRNA
- Certified Registered Nurse Anesthetist
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA 01071
- Practice address
- 455 Saint Michaels Dr
Santa Fe, NM 87505-7601 - Phone
- (505) 913-5368
- Fax
- (505) 913-5375
- NPI assigned
- Mar 14, 2006
- Last updated
- Mar 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1557345 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA 01071 | NM | Primary |
Addresses
Primary practice location
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Mailing address
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-5368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913149300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA 01071 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Radius Anesthesia of New Mexico LLC | Current | Accepting new patients | |
| Resource Anesthesiology Associates of NM Inc | Current | Accepting new patients | |
| New Mexico Anesthesia Specialists LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
4801 Lang Ave NE
Ste 110
Albuquerque, NM 87109
Phone (505) 633-3183
4901 Lang Ave NE
Ste 100
Albuquerque, NM 87109
Phone (505) 883-2574
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1376092403
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1386929644
-
- Certified Registered Nurse Anesthetist
- Alamogordo, NM
- NPI 1629390083
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1255309357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-913-5368",
"fax_number": "505-913-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-913-5368",
"fax_number": "505-913-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "JASON",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1557345",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA 01071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "913149300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.