Active NPI
Stephen Hatch, CRNA
- Certified Registered Nurse Anesthetist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7723970-4406
- Practice address
- 3112 SE 22ND St
Ankeny, IA 50021-9592 - Phone
- (385) 498-2281
- NPI assigned
- Jan 29, 2016
- Last updated
- Oct 19, 2020
- 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 | 7723970-4406 | UT | Primary |
Addresses
Primary practice location
3112 SE 22ND St
Ankeny, IA 50021-9592
Mailing address
675 Mare Dr
Kaysville, UT 84037-6852
Phone (385) 498-2281
Other practice location 1
530 W 465 N Ste 703
Providence, UT 84332-8006
Phone (385) 498-2281
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7723970-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hatch SC Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
530 W 465 N
Ste 703
Providence, UT 84332
Phone (385) 498-2281
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.
-
dba Ivory Anesthesia
- Certified Registered Nurse Anesthetist
- Providence, UT
- NPI 1972116523
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ankeny, IA
- NPI 1639538085
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1043678535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 MARE DR",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840376852",
"telephone_number": "385-498-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 SE 22ND ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500219592",
"telephone_number": "385-498-2281"
}
],
"practiceLocations": [
{
"address_1": "530 W 465 N Ste 703",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "UT",
"postal_code": "843328006",
"country_code": "US",
"telephone_number": "385-498-2281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATCH",
"first_name": "STEPHEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-29",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "7723970-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.