Active NPI
Adriane Tremain Fain, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 147203
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3503 - Phone
- (417) 347-1111
- NPI assigned
- Jul 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 147203 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 147203 | KS | Primary |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3503
Mailing address
1 Mt. Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200620060C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 N Main St
Coupeville, WA 98239-3413
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147203 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whidbey Island Public Hospital District | Current | Accepting new patients | |
| Whidbey Island Public Hospital District | Current | Accepting new patients | |
| Whidbey Island Public Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1710927231
-
- Clinical Social Worker
- Desert Hot Springs, CA
- NPI 1518819341
-
- Anesthesiology Physician
- Coupeville, WA
- NPI 1861897076
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oak Harbor, WA
- NPI 1144348228
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1164549549
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1497640445
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1710927231
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1902771728
-
- Critical Access Hospital
- Clinton, WA
- NPI 1992823595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1487885158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MT. CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-231-6100",
"fax_number": "620-231-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043503",
"telephone_number": "417-347-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "ADRIANE",
"middle_name": "TREMAIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "147203",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "147203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200620060C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.