Fotini Roussos Stamatiades, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4858 Issued in NC

Practice address

76 Peachtree Rd
Suite 300
Asheville, NC 28803-3395

Phone

(828) 274-3477

Fax

(828) 274-7407

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Fotini Roussos Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Providence Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1396739884
  Medicare reassignment NPD
• Piedmont Hendersonville Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Hendersonville, NC
  • NPI 1063482107
  NPD (past)
• Rutherford Hospital Inc

  • Anesthesiology Physician
  • Rutherfordton, NC
  • NPI 1164684437
  NPD (past)
• Florida Gulf-to-Bay Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1083665426
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1609821669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033395",
            "telephone_number": "828-274-3477",
            "fax_number": "828-274-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033395",
            "telephone_number": "828-274-3477",
            "fax_number": "828-274-7407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287925272",
            "country_code": "US",
            "telephone_number": "828-650-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMATIADES",
        "first_name": "FOTINI",
        "middle_name": "ROUSSOS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "072365",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3391292",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "4858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609821669",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306896000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FOTINI",
            "last_name": "ROUSSOS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelley Stafford
• Kylie P Stahl, LPCA
• John Jay Stahlman, NP
• Angela Michelle Stallard, COTA/L
• Mary Amanda Jane Stallard, DO
• Pericles John Stamatiades, D.D.S.
• Hannah Corinne Stampe, LCSW
• Lisa H Stander, LCSW
• Peter A Stangas, M.D.
• David Michael Stanley, MD

• Certified Registered Nurse Anesthetist in Asheville, NC
• Providers in Asheville, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.