Individual provider Active NPI

Cherie Carpenter Bate, CRNA

  • Certified Registered Nurse Anesthetist
  • Payson, UT
National Provider Identifier
1033536388
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1957474406 Issued in UT
Practice address
1000 E 100 N
Payson, UT 84651-1600
Phone
(801) 857-8841
NPI assigned
Mar 25, 2014
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1957474406 UT Primary
Certified Registered Nurse Anesthetist 367500000X 1957478901 UT

Addresses

Primary practice location

1000 E 100 N
Payson, UT 84651-1600

Mailing address

7836 Pinebrook Rd
Park City, UT 84098-4606
Phone (801) 857-8841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001643 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890919138 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1957474406UTMDCertified Registered Nurse Anesthetist
1957478901UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Anesthesia LC CurrentSince May 15, 2014 Accepting new patients
Central Utah Anesthesia LC CurrentSince Aug 23, 2021 Accepting new patients

Locations

640 W 800 N
Orem, UT 84057
Phone (801) 356-6002

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002

1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1033536388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 PINEBROOK RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984606",
            "telephone_number": "801-857-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 100 N",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511600",
            "telephone_number": "801-857-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATE",
        "first_name": "CHERIE",
        "middle_name": "CARPENTER",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "1957474406",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "1957478901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.