Active NPI
Richard Carmickle
- Certified Registered Nurse Anesthetist
- Lexington, KY
National Provider Identifier
1891186615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3014550
- Practice address
- 800 Rose St
Lexington, KY 40536-0293 - Phone
- (859) 323-5956
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- 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 | ARNP9396405 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 3014550 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-0293
Mailing address
291 Southhall LN
Maitland, FL 32751-7274
Phone (407) 667-0444
Other practice location 1
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 667-0444 ext. 141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL | |
| PENDING | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9396405 | FL | MD | Certified Registered Nurse Anesthetist |
| 3014550 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Waterman Anesthesiology Group PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
Interoperability endpoints
- rcarmickle22796@ukhcdirect.org
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Anesthesiology Physician
- Tavares, FL
- NPI 1801130588
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1891186615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 SOUTHHALL LN",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517274",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-323-5956"
}
],
"practiceLocations": [
{
"address_1": "601 E Rollins St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328031248",
"country_code": "US",
"telephone_number": "407-667-0444 x141",
"fax_number": "407-667-4338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMICKLE",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9396405",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3014550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.