Active NPI
Penny J Ogden, CRNA
- Certified Registered Nurse Anesthetist
- Brigham City, UT
National Provider Identifier
1265453088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 225108-4406
- Practice address
- 950 Medical Dr
Brigham City, UT 84302-4724 - Phone
- (800) 594-6399
- Fax
- (801) 733-5618
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 225108-4406 | UT | Primary |
Addresses
Primary practice location
950 Medical Dr
Brigham City, UT 84302-4724
Mailing address
1954 Fort Union Blvd
Salt Lake City, UT 84121-6800
Phone (801) 993-9500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87040324684121 A004 | Other | UT | TRICARE |
| PRA04451 | Other | UT | MOLINA |
| 2080245 | Other | UT | UHC |
| 107001918101 | Other | UT | IHC |
| QM0000076538 | Other | UT | ALTIUS |
| 340896 | Other | UT | DMBA |
| 870576522OG1 | Other | UT | EDUCATOR'S |
| 47568 | Other | UT | PEHP |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225108-4406 | UT | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265453088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 FORT UNION BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216800",
"telephone_number": "801-993-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 MEDICAL DR",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843024724",
"telephone_number": "800-594-6399",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGDEN",
"first_name": "PENNY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "225108-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "87040324684121 A004",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA04451",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2080245",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107001918101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000076538",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "340896",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATOR'S",
"identifier": "870576522OG1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "47568",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brigham 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.