Active NPI
Brandon Allen Aven, CRNA
- Certified Registered Nurse Anesthetist
- Layton, UT
National Provider Identifier
1649566936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 5047072-8901
- Practice address
- 836 S Angel St
Layton, UT 84041-8404 - Phone
- (801) 540-7800
- NPI assigned
- Jun 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRA-1000040 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | 5047072-8901 | UT | Primary |
Addresses
Primary practice location
836 S Angel St
Layton, UT 84041-8404
Mailing address
836 S Angel St
Layton, UT 84041-3238
Phone (801) 540-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WY
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRA-1000040 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evanston Hospital Corporation | Current | Accepting new patients | |
| Evanston Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Innovation Surgical Specialties, LLC | Current | Accepting new patients | |
| Evanston Hospital Corporation | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Innovation Medical Group PC | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
836 S Angel St
Layton, UT 84041
Phone (435) 291-1375
190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636
Interoperability endpoints
- https://api.platform.athenahealth.com/1583/brand/2/csg/28/fhir/r4
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Certified Registered Nurse Anesthetist
- Evanston, WY
- NPI 1013288836
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Layton, UT
- NPI 1588326870
-
- Family Medicine Physician
- Lyman, WY
- NPI 1366989014
-
- General Acute Care Hospital
- Evanston, WY
- NPI 1639140015
-
- Podiatrist
- Salt Lake City, UT
- NPI 1235526682
-
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1649566936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 S ANGEL ST",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413238",
"telephone_number": "801-540-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 S ANGEL ST",
"city": "LAYTON",
"state": "UT",
"postal_code": "840418404",
"telephone_number": "801-540-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVEN",
"first_name": "BRANDON",
"middle_name": "ALLEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2021-10-01",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "CRA-1000040",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "5047072-8901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.