Individual provider Active NPI

Carol C Richardson, CRNA

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1669588620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704167359 Issued in MI
Practice address
4550 Investment Dr Ste 100
Troy, MI 48098-6334
Phone
(248) 265-4600
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704167359 MI Primary

Addresses

Primary practice location

4550 Investment Dr Ste 100
Troy, MI 48098-6334

Mailing address

255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827001122 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032184502 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Environ Anesthesia LLC.Group PAC ID 3870717754, 23 clinicians
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians

Practice addresses (Care Compare)

11051 Hall Rd
Suite 110
Utica, MI 48317-5737
Phone (586) 726-6556

28555 Orchard Lake Rd
Suite 120
Farmington Hills, MI 48334-2973
Phone (248) 489-1070

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

38815 Dequindre Rd
Suite 101
Troy, MI 48083-6810
Phone (248) 528-1010

501 S Ballenger Hwy
McLaren Surgery and Endoscopy Center
Flint, MI 48532-3606
Phone (810) 768-2044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2007 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2021 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2017 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2017 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince Apr 19, 2004 Accepting new patients
Ambulatory Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2008 Accepting new patients
Northwestern Services, LLC CurrentSince Oct 14, 2017 Accepting new patients
Motor City Anesthesia Services PLLC CurrentSince May 14, 2024 Accepting new patients

Locations

949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

32270 Telegraph Rd
Ste 110
Bingham Farms, MI 48025
Phone (248) 792-9365

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

501 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-4800

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

432 W University Dr
Rochester, MI 48307
Phone (248) 651-6122

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669588620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "PO BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986334",
            "telephone_number": "248-265-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CAROL",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704167359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.