Active NPI
Richard Thomas Sheppard, CRNA
- Certified Registered Nurse Anesthetist
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CTP000133
- Practice address
- 3024 Stadium Blvd
Jonesboro, AR 72401-7415 - Phone
- (870) 972-7413
- NPI assigned
- May 11, 2010
- Last updated
- May 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CTP000133 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonesboro Anesthesia Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Methodist Hospital Corporation | Current | Accepting new patients | |
| Rural Health Pain Management LLC | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Baptist Memorial Hospital-Jonesboro Inc | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Arkansas Methodist Hospital Corporation | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | 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.
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
dba Paragould Anesthesia Group
- Anesthesiology Physician
- Paragould, AR
- NPI 1861593816
-
- Anesthesiology Physician
- West Memphis, AR
- NPI 1063907244
Nurse Anesthetist, Certified Registered
-
dba NEA Baptist Clinic
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Pain Medicine (Anesthesiology) Physician
- Forrest City, AR
- NPI 1265039556
-
- Anesthesiology Physician
- Benton, AR
- NPI 1497023360
-
dba BRMC Anesthesia
- Anesthesiology Physician
- Mountain Home, AR
- NPI 1114178753
-
dba AMMC Physician Group
- Otolaryngology Physician
- Paragould, AR
- NPI 1205457405
-
dba NEA Baptist Memorial Hospital
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
-
dba NARMC Pain Management
- Pain Medicine Physician
- Harrison, AR
- NPI 1689533317
-
dba NEA Baptist Mobile Health Unit
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
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.