Richard Gary Watts, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

308580-4406 Issued in UT

Practice address

151 E 1600 S
Mapleton, UT 84664-5202

Phone

(801) 491-6315

Fax

(801) 465-7122

NPI assigned

Sep 13, 2006

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT, MT, ID3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Anesthesia LCGroup PAC ID 5991604829, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052
• Mountain View Hospital Hospital, Payson, UT, CCN 460013

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain View Anesthesia LC

  • Anesthesiology Physician
  • Orem, UT
  • NPI 1043249840
  Medicare reassignment Care Compare group NPD
• Benewah Community Hospital

  dba St Maries Family Medicine

  • Rural Health Clinic/Center
  • St Maries, ID
  • NPI 1386632180
  Medicare reassignment NPD
• Benewah Community Hospital

  • Critical Access Hospital
  • St Maries, ID
  • NPI 1548320435

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Butte Pain and Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Butte, MT
  • NPI 1205869468
  Medicare reassignment NPD
• Anesthesia Development Partners LLC

  • Certified Registered Nurse Anesthetist
  • Elko, NV
  • NPI 1073227815

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain View Hospital, Inc.

  dba Mountain View Hospital

  • General Acute Care Hospital
  • Payson, UT
  • NPI 1487607669
  Care Compare affiliation
• Timpanogos Regional Medical Services, Inc.

  dba Timpanogos Regional Hospital

  • General Acute Care Hospital
  • Orem, UT
  • NPI 1497702195
  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1023113545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 1600 S",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846645202",
            "telephone_number": "801-491-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 1600 S",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846645202",
            "telephone_number": "801-491-6315",
            "fax_number": "801-465-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 S 7th St",
            "address_purpose": "LOCATION",
            "city": "St Maries",
            "state": "ID",
            "postal_code": "838611803",
            "country_code": "US",
            "telephone_number": "208-245-5551",
            "fax_number": "208-245-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "RICHARD",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000370",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-846A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "308580-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4599",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2246747",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023113545",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Turnbow, PHD
• Breanna F Upstill, PHARMD
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• Mary Jill Wall, CMHC
• Kyle Ward, PMHNP-BC
• Tanya Preston Westmoreland, D.D.S.
• Monica Amy Wilkinson, BS, CBE
• Tricia Whitaker Winder, LCSW
• Troy Marie Young, LCSW
• Malinda Zonts, FNP

• Certified Registered Nurse Anesthetist in Mapleton, UT
• Providers in Mapleton, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.