Individual provider Active NPI

Barrett Zane Gardner, CRNA

  • Certified Registered Nurse Anesthetist
  • American Fork, UT
National Provider Identifier
1750529830
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1750529830 Issued in UT
Practice address
170 N 1100 E
American Fork, UT 84003-2961
Phone
(801) 855-3300
NPI assigned
Jan 28, 2009
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 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, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090504000211 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375691272 Reassigns benefits to 1 organization
I20191025000985 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375691272 Reassigns benefits to 1 organization

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
NPH Anesthesia of Utah LLCGroup PAC ID 9537584313, 91 clinicians

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

LicenseStateTypeSpecialty
3793SCMDPediatric Physical Therapist
1750529830UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Single Specialty CurrentSince Oct 18, 2018 Accepting new patients
Prisma Health-Midlands Single Specialty Current Accepting new patients
NPH Anesthesia of Utah, LLC Single Specialty CurrentSince Nov 1, 2021 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.