Cloud Nine Sedations

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CLOUD NINE SEDATIONS

Practice address

5465 Aspen Meadow LN
Mountain Green, UT 84050-6766

Phone

(801) 540-0115

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Ben C Rabe, CRNA

Title

Owner

Phone

(801) 540-0115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1629638101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150721",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150721",
            "telephone_number": "801-876-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 ASPEN MEADOW LN",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "840506766",
            "telephone_number": "801-540-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD NINE SEDATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-540-0115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Mountain Green, UT
• Providers in Mountain Green, 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 Jun 18, 2019; 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.