Individual provider Active NPI

Brandon Allen Aven, CRNA

  • Certified Registered Nurse Anesthetist
  • Layton, UT
National Provider Identifier
1649566936
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5047072-8901 Issued in UT
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

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130628000188 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981874518 Reassigns benefits to 1 organization
I20220126001451 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981874518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRA-1000040COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Hospital Corporation CurrentSince Dec 21, 2021 Accepting new patients
Evanston Hospital Corporation Nurse Anesthetist, Certified Registered Current Accepting new patients
Innovation Surgical Specialties, LLC CurrentSince Oct 17, 2021 Accepting new patients
Evanston Hospital Corporation CurrentSince Dec 21, 2021 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince May 11, 2024 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Innovation Medical Group PC PastSince Oct 17, 2021 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.