David B Farnworth, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

216093-4406 Issued in UT

Practice address

1067 N 500 W
Provo, UT 84604-3305

Phone

(801) 375-8049

Fax

(801) 374-9195

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457575789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846031727",
            "telephone_number": "801-375-8049",
            "fax_number": "801-374-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-375-8049",
            "fax_number": "801-374-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNWORTH",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "216093-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562302331007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Farley
• Charlotte Anne Farmer
• Katherine Newman Farmer, BSW
• Cherie Marie Farnes
• Jennifer Melissa Farnsworth, RN-BSN
• Emily Farris
• Brian Willis Farstead
• Jason Paul Fausett
• Damon Monson Faust, D.C.
• Jonathan R Faux, MD

• 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 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.

Verify at the official NPI Registry.