Active NPI
Lawrence C Van Atta, CRNA
- Certified Registered Nurse Anesthetist
- Price, UT
National Provider Identifier
1477658375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 215357-4406
- Practice address
- 300 N Hospital Dr
Price, UT 84501-4218 - Phone
- (800) 748-4868
- Fax
- (801) 733-5872
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 215357-4406 | UT | Primary |
Addresses
Primary practice location
300 N Hospital Dr
Price, UT 84501-4218
Mailing address
PO Box 981357
Park City, UT 84098-1357
Phone (435) 615-1514
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74393 | Other | UT | PEHP |
| 2000575 | Other | UT | UNITED HEALTH |
| 8567 | Other | UT | HEALTHY U |
| 107026171101 | Other | UT | IHC |
| 809498 | Other | UT | DESERET MUTUAL |
| 270041325LV2 | Other | UT | EDUCATORS MUTUAL |
| QM0000076612 | Other | UT | ALTIUS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477658375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981357",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840981357",
"telephone_number": "435-615-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N HOSPITAL DR",
"city": "PRICE",
"state": "UT",
"postal_code": "845014218",
"telephone_number": "800-748-4868",
"fax_number": "801-733-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ATTA",
"first_name": "LAWRENCE",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "215357-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "74393",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "2000575",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "8567",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107026171101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "809498",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "270041325LV2",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000076612",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Price, 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.