Active NPI
Craig E Parker, CRNA
- Certified Registered Nurse Anesthetist
- Salt Lake City, UT
National Provider Identifier
1053522896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 190914-4406
- Practice address
- 65 N Medical Dr
Surgery Department
Salt Lake City, UT 84132-1000 - Phone
- (801) 581-3195
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 190914-4406 | UT | Primary |
Addresses
Primary practice location
65 N Medical Dr
Surgery Department
Salt Lake City, UT 84132-1000
Mailing address
2666 Oakwood Dr
Bountiful, UT 84010-3241
Phone (801) 294-7953
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190914-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis Program Physicians University of Utah | Past | Accepting new patients | |
| Ihc Health Services, Inc. | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053522896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2666 OAKWOOD DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840103241",
"telephone_number": "801-294-7953",
"fax_number": "801-294-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N MEDICAL DR",
"address_2": "SURGERY DEPARTMENT",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841321000",
"telephone_number": "801-581-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "CRAIG",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "190914-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.