Art of Modern Anesthesia PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2775864406 Issued in UT

Legal business name

ART OF MODERN ANESTHESIA PC

Practice address

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149

Phone

(801) 392-0385

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Manardie Francis Shimata, CRNA

Title

Owner

Phone

(801) 392-0385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1063824969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840111468",
            "telephone_number": "801-296-2113",
            "fax_number": "801-296-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WASHINGTON BLVD STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014149",
            "telephone_number": "801-392-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF MODERN ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "SHIMATA",
        "authorized_official_first_name": "MANARDIE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-392-0385",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "2775864406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine E. Arn, M.D.
• Natalie Arnesen
• Lyndlee Arnold
• Karen Arroyo
• Art of Anesthesia P.C
• Priscilla Asante
• Ascending Wellness, LLC
• Isabel Asensio
• Ash & Ascent Therapy
• Heidi Ashcraft

• Certified Registered Nurse Anesthetist in Ogden, UT
• Providers in Ogden, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.