BRADY CARLSEN (NPI# 1972048692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972048692 |
| Entity Type | Individual |
| Full Name | BRADY CARLSEN |
| Credential | CRNA |
| Practice Address |
3580 W 9000 S West Jordan UT 84088-8812 |
| Mailing Address |
11526 S High Mountain Dr Sandy UT 84092-5659 |
| Practice Telephone | 5092170698 |
| Mailing Telephone | 5092170698 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 5149223-4406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3580 W 9000 S |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-8812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422812 | Utah Imaging Associates | Radiology | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2005-07-26 |
| 1003416645 | Brett Pozolinski | Physical Therapist | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2020-10-30 |
| 1033720461 | Samantha Blair Walker | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2020-08-10 |
| 1508414012 | Alyson Oblock | Physician Assistant | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2019-08-28 |
| 1548820285 | Collin Mark Olsen | Speech-Language Pathologist | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2019-06-14 |
| 1972008977 | Jillian Harding | Physical Therapy Assistant | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2018-03-29 |
| 1770094666 | Jessica Johnson | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2017-10-18 |
| 1720502867 | Melissa Dawn Anderson | Speech-Language Pathologist | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2017-07-31 |
| 1003348947 | Michael L Taylor Anesthesiology Pllc | Anesthesiology | 3580 W 9000 S, Jordan Valley Medical Center Dept of Anesthesiology, West Jordan, UT 84088 | 2017-03-30 |
| 1770037988 | Heber Valley Consultants PC | Anesthesiology | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720461 | Samantha Blair Walker | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2020-08-10 |
| 1770094666 | Jessica Johnson | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2017-10-18 |
| 1851484489 | Max H Shurtliff | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84070 | 2006-10-02 |
| 1548201841 | James Harned | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116523 | Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | 530 W 465 N Ste 703, Providence, UT 84332-8006 | 2020-08-24 |
| 1083223523 | Mt Olympus Anesthesia | Nurse Anesthetist, Certified Registered | 4035 S Splendor Cir, Salt Lake City, UT 84124-2177 | 2020-07-30 |
| 1922627975 | Nic-sedation Pllc | Nurse Anesthetist, Certified Registered | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-09 |
| 1871139972 | Suzanne Enos Tremblay | Nurse Anesthetist, Certified Registered | 1051 E 100 N, Lindon, UT 84042-2268 | 2019-11-23 |
| 1629638101 | Cloud Nine Sedations | Nurse Anesthetist, Certified Registered | 5465 Aspen Meadow Ln, Mountain Green, UT 84050-6766 | 2019-06-18 |
| 1558927376 | Rocky Point Anesthesia | Nurse Anesthetist, Certified Registered | 6811 Firth Farm Rd, South Weber, UT 84405-7193 | 2019-05-16 |
| 1083120059 | Dallin Marchant | Nurse Anesthetist, Certified Registered | 1954 S 2600 E, Slc, UT 84108-3334 | 2017-12-28 |
| 1477068294 | Michael G Bergeson | Nurse Anesthetist, Certified Registered | 136 W 1300 North Cir, Centerville, UT 84014-1400 | 2017-12-04 |
| 1356886832 | Jeremy Henrie | Nurse Anesthetist, Certified Registered | 10660 S Rembrandt Ln, Sandy, UT 84070-5224 | 2016-12-20 |
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.