Organization Active NPI

Laura Farley Crna PLLC

  • Certified Registered Nurse Anesthetist
  • Salt Lake City, UT
National Provider Identifier
1083062319
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6962510-4406 Issued in UT
Legal business name
LAURA FARLEY CRNA PLLC
Practice address
1485 E 3900 S
Salt Lake City, UT 84124-1438
Phone
(801) 296-2113
Fax
(801) 951-2351
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Authorized official

Name
Laura Ann Farley, CRNANPI 1487043162
Title
Sole Proprietor
Phone
(801) 910-8533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 6962510-4406 UT Primary

Addresses

Primary practice location

1485 E 3900 S
Salt Lake City, UT 84124-1438

Mailing address

PO Box 886
Bountiful, UT 84011-0886
Phone (801) 296-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907002229 UT Part B Supplier - Clinic/Group Practice 3779879333 Receives reassigned benefits from 1 practitioner
Practice locations: Holladay, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1083062319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110886",
            "telephone_number": "801-296-2113",
            "fax_number": "801-951-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241438",
            "telephone_number": "801-296-2113",
            "fax_number": "801-951-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA FARLEY CRNA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "801-910-8533",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "6962510-4406",
            "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 Jun 30, 2024; 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.