Active NPI
Royce Baird Bartholomew, CRNA
- Certified Registered Nurse Anesthetist
- Mountain Green, UT
National Provider Identifier
1851352165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 215642-4406
- Practice address
- 5674 Woodland Dr
Mountain Green, UT 84050-9914 - Phone
- (801) 372-1888
- NPI assigned
- Mar 29, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 215642-4406 | UT | Primary |
Addresses
Primary practice location
5674 Woodland Dr
Mountain Green, UT 84050-9914
Mailing address
5674 Woodland Dr
Mountain Green, UT 84050-9914
Phone (801) 372-1888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202438385 00001 | Other | UT | CIGNA |
| 71685 | Other | UT | PUBLIC EMPLOYEES HEALTH P |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Ketamine Clinics, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hoopes Vision Correction Center, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Kaysville, UT
- NPI 1568050052
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mountain Green, UT
- NPI 1295946358
-
dba Hoopes Vision Correction Center
- Ophthalmology Physician
- Draper, UT
- NPI 1982759122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851352165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5674 WOODLAND DR",
"city": "MOUNTAIN GREEN",
"state": "UT",
"postal_code": "840509914",
"telephone_number": "801-372-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5674 WOODLAND DR",
"city": "MOUNTAIN GREEN",
"state": "UT",
"postal_code": "840509914",
"telephone_number": "801-372-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHOLOMEW",
"first_name": "ROYCE",
"middle_name": "BAIRD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "215642-4406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "202438385 00001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC EMPLOYEES HEALTH P",
"identifier": "71685",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Green, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.