Active NPI
Peter Anders, CRNA
- Certified Registered Nurse Anesthetist
- Sandy, UT
National Provider Identifier
1013941640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 279983-4406
- Practice address
- 10011 Centennial Pkwy
Sandy, UT 84070-4156 - Phone
- (801) 993-9527
- NPI assigned
- Jul 10, 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 | 279983-4406 | UT | Primary |
Addresses
Primary practice location
10011 Centennial Pkwy
Sandy, UT 84070-4156
Mailing address
2710 Canton LN
Sandy, UT 84092-7125
Phone (801) 501-0323
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 674382 | Other | UT | DMBA |
| 107004000103 | Other | UT | IHC |
| 72741 | Other | UT | PEHP |
| QM0000076551 | Other | UT | ALTIUS |
| 88075 | Other | UT | PEHP |
| 870372827PAN | Other | UT | EDUCATORS |
| PRA07350 | Other | UT | MOLINA |
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 |
|---|---|---|---|
| 279983-4406 | UT | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013941640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 CANTON LN",
"city": "SANDY",
"state": "UT",
"postal_code": "840927125",
"telephone_number": "801-501-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10011 CENTENNIAL PKWY",
"city": "SANDY",
"state": "UT",
"postal_code": "840704156",
"telephone_number": "801-993-9527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "PETER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "279983-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "674382",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107004000103",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "72741",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000076551",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "88075",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS",
"identifier": "870372827PAN",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA07350",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
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.