NPIMap

Individual provider Active NPI

Aubrey Ann Crittenden

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1053090381
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9051741-4405 Issued in UT
Practice address
2133 Kennedy PL
Saint George, UT 84790-8062
Phone
(435) 253-0862
NPI assigned
Jul 13, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9051741-4405 UT Primary
Primary Care Nurse Practitioner 363LP2300X NUR-APRN-LIC-218070 MT

Addresses

Primary practice location

2133 Kennedy PL
Saint George, UT 84790-8062

Mailing address

2133 Kennedy PL
Saint George, UT 84790-8062
Phone (435) 253-0862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112003477 MT Practitioner - Nurse Practitioner 7012368194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillips County Hospital AssnGroup PAC ID 5092757245, 8 clinicians

Practice addresses (Care Compare)

311 S 8TH Ave E
Malta, MT 59538-8978
Phone (406) 654-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9051741-4405UTMDFamily Nurse Practitioner
NUR-APRN-LIC-218070MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips County Hospital Assn CurrentSince Oct 21, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1053090381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 KENNEDY PL",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908062",
            "telephone_number": "435-253-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 KENNEDY PL",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908062",
            "telephone_number": "435-253-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITTENDEN",
        "first_name": "AUBREY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9051741-4405",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "NUR-APRN-LIC-218070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.