Individual provider Active NPI

Kim M Foote, CRNA

  • Certified Registered Nurse Anesthetist
  • Pawtucket, RI
National Provider Identifier
1952497034
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA'36591 Issued in RI
Practice address
111 Brewster St
Pawtucket, RI 02860-4400
Phone
(401) 729-2435
Fax
(401) 729-3476
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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 RNA'36591 RI Primary

Addresses

Primary practice location

111 Brewster St
Pawtucket, RI 02860-4400

Mailing address

2580 Cranberry Hwy
Wareham, MA 02571-1013
Phone (508) 494-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040413000554 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789678707 Reassigns benefits to 2 organizations
I20150603000461 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789678707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Professionals IncGroup PAC ID 0042297582, 6 clinicians
Anesthesia Partners of New England LLCGroup PAC ID 2365835428, 39 clinicians

Practice addresses (Care Compare)

444 Quaker LN
Warwick, RI 02886-0185
Phone (774) 320-3040

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNA'36591RIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2009 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Oct 25, 2024 Accepting new patients
Anesthesia Partners of New England, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Falmouth Anesthesia and Pain Management PC Past Accepting new patients
Heritage Medical Group Inc. Past Accepting new patients
MVP Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

145 West St
Milford, MA 01757
Phone (508) 381-5600

748 Mount Pleasant St
Unit 50036
New Bedford, MA 02745

500 Faunce Corner Rd
Ste 180
North Dartmouth, MA 02747
Phone (508) 717-0270

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

400 10th St E
Waconia, MN 55387

62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030

444 Quaker Ln
Warwick, RI 02886
Phone (401) 935-1439

444 Quaker Ln
Unit 2
Warwick, RI 02886

Organizations & group practices 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1952497034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711013",
            "telephone_number": "508-494-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2435",
            "fax_number": "401-729-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "RNA'36591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.