Alexander Scott Knudsen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

7437932-4406 Issued in UT

Practice address

7506 Tall Oaks Dr
Park City, UT 84098-5362

Phone

(435) 729-0202

NPI assigned

Oct 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Skies Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • St George, UT
  • NPI 1144070673

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Red Rocks Surgical Center PC

  • Ambulatory Surgical Clinic/Center
  • St George, UT
  • NPI 1457076903
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1801299169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 TALL OAKS DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985362",
            "telephone_number": "435-729-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 TALL OAKS DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985362",
            "telephone_number": "435-729-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "ALEXANDER",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024172118",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "7437932-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Knepper, M.D.
• Jennifer Pruitt Knight, APRN
• Michael Knight, D.D.S.
• Venssa Riels Knight, D.D.S.
• Jayne Knox
• Amy S Koch, P.T.A.
• Zachry R Koch, P.T.
• Carol Sue Kofford
• Nathaniel David Kofford, M.D., MSPH
• Brian S. Krachman, D.O.

• Certified Registered Nurse Anesthetist in Park City, UT
• Providers in Park City, 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 Jan 5, 2016; 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.