Fountain Anesthesia, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

FOUNTAIN ANESTHESIA, LLC

Practice address

5000 E Palomino LN Unit 21
Flagstaff, AZ 86004-7444

Phone

(480) 414-1295

NPI assigned

Sep 2, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela Fountain, CRNANPI 1255776308

Title

Ceo

Phone

(480) 414-1295

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela L Fountain, CRNA

  • Certified Registered Nurse Anesthetist
  • Tempe, AZ
  • NPI 1255776308
  Authorized official Same address or phone

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1740900265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E PALOMINO LN UNIT 21",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047444",
            "telephone_number": "480-414-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E PALOMINO LN UNIT 21",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047444",
            "telephone_number": "480-414-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-414-1295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danae M Foster, AUD., CCC-A
• Jenniene L Foster, MD
• Mark C Foster, M.D.
• Foundations Physical Therapy
• Founders Healthcare, LLC (Preferred Homecare)
• Four Peaks Health Care Associates PLLC
• Four Seasons Mental Health PLLC (Cheryl Carstens PMHNP)
• Alaitia Rae Fox, PT, DPT
• Hannah Fox, MD
• Nicholas Vincent Franceschini, MD

• Certified Registered Nurse Anesthetist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.