Active NPI
Richard George Ouellette, CRNA
- Certified Registered Nurse Anesthetist
- Greensboro, NC
National Provider Identifier
1891864583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 18906
- Practice address
- 501 N Elam Ave
Greensboro, NC 27403-1118 - Phone
- (336) 832-1000
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 18906 | NC | Primary |
Addresses
Primary practice location
501 N Elam Ave
Greensboro, NC 27403-1118
Mailing address
PO Box 26580
Greensboro, NC 27415-6580
Phone (336) 832-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050007 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18906 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891864583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26580",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274156580",
"telephone_number": "336-832-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N ELAM AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031118",
"telephone_number": "336-832-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "RICHARD",
"middle_name": "GEORGE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "18906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050007",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.