Nathan Huntsman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

8764516-8901 Issued in UT

Practice address

320 River Park Dr Ste 125
Provo, UT 84604-6065

Phone

(801) 437-4500

Fax

(801) 437-1400

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverwoods Anesthesia PLLCGroup PAC ID 0547217366, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Riverwoods Anesthesia PLLC

  • Anesthesiology Physician
  • Provo, UT
  • NPI 1821290883
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1407486012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 N 840 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974270",
            "telephone_number": "801-420-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RIVER PARK DR STE 125",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046065",
            "telephone_number": "801-437-4500",
            "fax_number": "801-437-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "NATHAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8764516-3102",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "8764516-8901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hunter, DPT
• Sarah Hunter, CSW
• Travis J Hunter, APRN-INTERN
• Randy M Huntington, LCSW
• Elizabeth Huntsman, FNP-C
• Sarah Huppi, ATC, LAT
• Ryan David Hurd, DPT
• Jeffrey Scott Hurst, MS, ATC-L, LRPT
• Kennedy Jean Hurst
• Mariah Hurst

• Certified Registered Nurse Anesthetist in Provo, UT
• Providers in Provo, 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 9, 2020; 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.