Active NPI
Barrett Zane Gardner, CRNA
- Certified Registered Nurse Anesthetist
- American Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1750529830
- Practice address
- 170 N 1100 E
American Fork, UT 84003-2961 - Phone
- (801) 855-3300
- NPI assigned
- Jan 28, 2009
- Last updated
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 1750529830 | UT | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 3793 | SC |
Addresses
Primary practice location
170 N 1100 E
American Fork, UT 84003-2961
Mailing address
766 E 400 N
Orem, UT 84097-4949
Phone (860) 770-9291
Other practice location 1
Taylor at Marion St.
Columbia, SC 29220
Phone (803) 296-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, UT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3793 | SC | MD | Pediatric Physical Therapist |
| 1750529830 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Single Specialty | Current | Accepting new patients |
| Prisma Health-Midlands | Single Specialty | Current | Accepting new patients |
| NPH Anesthesia of Utah, LLC | Single Specialty | Current | Accepting new patients |
| Pain Management, LLC | Single Specialty | Past | Accepting new patients |
Locations
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579
5 Richland Medical Park Dr
Ste 470
Columbia, SC 29203
Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prisma Health Baptist Hospital
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
Single Specialty
-
dba Prisma Health Columbia CRNA Services
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1003327792
Single Specialty
-
- Interventional Pain Medicine Physician
- Mount Pleasant, SC
- NPI 1104914076
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health Orem Community Hospital
- General Acute Care Hospital
- Orem, UT
- NPI 1801903240
-
dba Intermountain Health American Fork Hospital
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1750529830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 E 400 N",
"city": "OREM",
"state": "UT",
"postal_code": "840974949",
"telephone_number": "860-770-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N 1100 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032961",
"telephone_number": "801-855-3300"
}
],
"practiceLocations": [
{
"address_1": "Taylor at Marion St.",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29220",
"country_code": "US",
"telephone_number": "803-296-5010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "BARRETT",
"middle_name": "ZANE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-28",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "1750529830",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3793",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.