Active NPI
Angela L Fountain, CRNA
- Certified Registered Nurse Anesthetist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0926
- Practice address
- 6433 S Clark Dr
Tempe, AZ 85283-3308 - Phone
- (480) 414-1295
- NPI assigned
- May 2, 2013
- Sex
- Female
- 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 | CRNA0926 | AZ | Primary |
Addresses
Primary practice location
6433 S Clark Dr
Tempe, AZ 85283-3308
Mailing address
6433 S Clark Dr
Tempe, AZ 85283-3308
Phone (480) 414-1295
Other practice location 1
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2657
Phone (888) 724-6236
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000
Hospital & facility affiliations
- Abrazo Scottsdale Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA0926 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Anesthesia Group, PLLC | Current | Accepting new patients | |
| Valley Anesthesiology Consultants, Inc. | Current | Accepting new patients | |
| Ascend Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dec Anesthesia LLC | Current | Accepting new patients | |
| Summit Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg North Valley Anesthesia LLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pinnacle Global Health LLC | Past | Accepting new patients | |
| Mesa Az Endoscopy ASC LLC | Past | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405
1301 S Crismon Rd
#C
Mesa, AZ 85209
220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
15255 N 40th St
Ste 157
Phoenix, AZ 85032
Phone (602) 482-1001
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2262 E Rose Garden Ln
Phoenix, AZ 85024
Phone (602) 424-4408
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080
6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1629351788
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1093006520
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1649164849
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1528396108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1255776308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6433 S CLARK DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833308",
"telephone_number": "480-414-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6433 S CLARK DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833308",
"telephone_number": "480-414-1295"
}
],
"practiceLocations": [
{
"address_1": "4700 Las Vegas Blvd N",
"address_purpose": "LOCATION",
"city": "Nellis AFB",
"state": "NV",
"postal_code": "891916600",
"country_code": "US",
"telephone_number": "702-653-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOUNTAIN",
"first_name": "ANGELA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.