Individual provider Active NPI

Stephen Hatch, CRNA

  • Certified Registered Nurse Anesthetist
  • Ankeny, IA
National Provider Identifier
1043678535
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7723970-4406 Issued in UT
Practice address
3112 SE 22ND St
Ankeny, IA 50021-9592
Phone
(385) 498-2281
NPI assigned
Jan 29, 2016
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 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

LicenseStateTypeSpecialty
7723970-4406UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleepy Smiles LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2020 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.

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.

Verify at the official NPI Registry.