NPIMap

Organization Active NPI

3 2 1 Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Ogden, UT
National Provider Identifier
1902264427
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
371423-4406 Issued in UT
Legal business name
3 2 1 ANESTHESIA LLC
Practice address
3480 Washington Blvd Ste 105
Ogden, UT 84401-4149
Phone
(801) 392-0385
Fax
(801) 393-3334
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Kendra KP Williams, CRNA
Title
Crna/Owner
Phone
(801) 391-8432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 371423-4406 UT Primary

Addresses

Primary practice location

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149

Mailing address

PO Box 837
Ogden, UT 84402-0837
Phone (801) 392-0402

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1902264427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020837",
            "telephone_number": "801-392-0402",
            "fax_number": "801-393-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WASHINGTON BLVD STE 105",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014149",
            "telephone_number": "801-392-0385",
            "fax_number": "801-393-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 2 1 ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "KP",
        "authorized_official_title_or_position": "CRNA/OWNER",
        "authorized_official_telephone_number": "801-391-8432",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "371423-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.