Easton Andersen

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

79593 Issued in ID

Practice address

350 W 1450 S
Orem, UT 84058-7327

Phone

(208) 223-2638

NPI assigned

Jul 10, 2025

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Easton Andrew Andersen-Barthlome Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1427949346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 1450 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 1450 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587327",
            "telephone_number": "208-223-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "EASTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "ID",
            "license": "79593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EASTON",
            "last_name": "ANDERSEN-BARTHLOME",
            "middle_name": "ANDREW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francisco Xavier Ampuero, LA-SUDC; LCSW
• Holly Kaye Ancell, LCSW
• Anchor Spinal Rehab - Orem (Anchor Spinal Rehab)
• Aaron Kevin Andersen, D.O.
• Breckyn Andersen
• Leah Andersen
• Lex Andersen
• Nicholas Andersen
• Steven John Andersen, LCSW
• Aubrey Anderson

• Critical Care Medicine Registered Nurse in Orem, UT
• Providers in Orem, UT by specialty
• Critical Care Medicine Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.