Individual provider Active NPI

Richard Thomas Sheppard, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
National Provider Identifier
1255659546
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CTP000133 Issued in AR
Practice address
3024 Stadium Blvd
Jonesboro, AR 72401-7415
Phone
(870) 972-7413
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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 CTP000133 AR Primary

Addresses

Primary practice location

3024 Stadium Blvd
Jonesboro, AR 72401-7415

Mailing address

2024 Arkansas Valley Dr
Suite 202
Little Rock, AR 72212-4166
Phone (501) 227-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000266 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163554098 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonesboro Anesthesia IncGroup PAC ID 6709798077, 60 clinicians

Practice addresses (Care Compare)

225 E Washington Ave
St Bernards Med Ctr
Jonesboro, AR 72401-3119
Phone (870) 932-4211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CTP000133ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesboro Anesthesia Inc CurrentSince Oct 24, 2022 Accepting new patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Arkansas Methodist Hospital Corporation CurrentSince Aug 7, 2013 Accepting new patients
Rural Health Pain Management LLC CurrentSince May 1, 2022 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Sep 23, 2024 Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 24, 2010 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Sep 23, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Arkansas Methodist Hospital Corporation CurrentSince Aug 7, 2013 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 24, 2010 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients
BP Anesthesia, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

3024 Stadium Blvd
Jonesboro, AR 72404
Phone (870) 972-7000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1255659546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 ARKANSAS VALLEY DR",
            "address_2": "SUITE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124166",
            "telephone_number": "501-227-0700",
            "fax_number": "501-227-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 STADIUM BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017415",
            "telephone_number": "870-972-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CTP000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.

Verify at the official NPI Registry.