Nichole Cuddeback, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3094717-4406 Issued in UT

Practice address

9660 S 1300 E
Sandy, UT 84094-3762

Phone

(801) 727-2056

Fax

(770) 701-6675

NPI assigned

Feb 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Georgetown University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Anesthesia, LLCGroup PAC ID 4486993862, 12 clinicians

South Towne Anesthesia LLCGroup PAC ID 3870958176, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• South Towne Anesthesia LLC

  • Anesthesiology Physician
  • Draper, UT
  • NPI 1457061533
  Medicare reassignment Care Compare group NPD
• Utah Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Sandy, UT
  • NPI 1235626417

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Eye Surg of Utah, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Draper, UT
  • NPI 1629069281
  Medicare reassignment NPD
• Mountain View Anesthesia LC

  • Anesthesiology Physician
  • Orem, UT
  • NPI 1043249840
  Medicare reassignment NPD
• Mountain West Anesthesia LLC

  • Anesthesiology Physician
  • Lehi, UT
  • NPI 1558391763
  Medicare reassignment NPD
• NPH Anesthesia of Utah, LLC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1366077273
  Medicare reassignment NPD
• Western Anesthesia Associates LLC

  • Anesthesiology Physician
  • Bountiful, UT
  • NPI 1174566277
  Medicare reassignment NPD
• Loudoun Anesthesia Associates

  • Anesthesiology Physician
  • Potomac Falls, VA
  • NPI 1629017645
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1124350137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 S STATE ST STE 150",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207140",
            "telephone_number": "801-568-0200",
            "fax_number": "801-563-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943762",
            "telephone_number": "801-727-2056",
            "fax_number": "770-701-6675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1164 E Bella Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Fruit Heights",
            "state": "UT",
            "postal_code": "840372237",
            "country_code": "US",
            "telephone_number": "801-663-6438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11820 S State St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207140",
            "country_code": "US",
            "telephone_number": "801-568-0200",
            "fax_number": "801-563-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUDDEBACK",
        "first_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168646",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "3094717-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124350137",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holli Crosby, ACMHC
• Crossover Health Medical Group
• Crossroads Therapeutic Services, LLC
• Krista L Crown, PTA
• Crownbrook Inc
• Ashley Cuevas
• Megan Culp, DPT
• Micah Culwell
• Curbside Cardiology Consultants
• Christopher Scott Cutler, MD

• Certified Registered Nurse Anesthetist in Sandy, UT
• Providers in Sandy, 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 Jul 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.