Individual provider Active NPI

Jonathan D Mann, CRNA

  • Certified Registered Nurse Anesthetist
  • Lehi, UT
National Provider Identifier
1134557853
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA000437 Issued in NV
Practice address
3000 N Triumph Blvd
Lehi, UT 84043-4999
Phone
(385) 345-3000
Fax
(770) 701-6676
NPI assigned
Oct 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 6833204-4406 UT
Certified Registered Nurse Anesthetist 367500000X CRNA000437 NV Primary

Addresses

Primary practice location

3000 N Triumph Blvd
Lehi, UT 84043-4999

Mailing address

2530 W Carmel Estates Dr
Cedar City, UT 84720-1916
Phone (800) 748-4868

Other practice location 1

9127 W Russell Rd Ste 110
Las Vegas, NV 89148
Phone (702) 878-0070

Other identifiers 1

IdentifierTypeStateIssuer
1134557853MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181130001053 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729219241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Anesthesia Group LLPGroup PAC ID 0345240966, 11 clinicians

Practice addresses (Care Compare)

1303 N Main St
Cedar City, UT 84720-9746
Phone (435) 868-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CRNA000437NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Anesthesia Group LLP Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Vaughn Jones Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 28, 2018 Accepting new patients
Arizona Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2020 Accepting new patients

Locations

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1335 Northfield Rd
Ste 150
Cedar City, UT 84721
Phone (435) 586-1003

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

1791 E 280 N
St George, UT 84790
Phone (435) 628-4429

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1134557853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W CARMEL ESTATES DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201916",
            "telephone_number": "800-748-4868",
            "fax_number": "770-701-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3000",
            "fax_number": "770-701-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9127 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89148",
            "country_code": "US",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-15",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "6833204-4406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134557853",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.