EVAN B THEOBALD CRNA
NPI 1497859037
Nurse Anesthetist, Certified Registered in Payson, UT

Active since September 12, 2006
1000 E 100 N, PAYSON, UT 84651(800) 748-4868(801) 733-5872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan B Theobald Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN B THEOBALD CRNA (NPI 1497859037) is an individual nurse anesthetist, certified registered in Payson, Utah, licensed in Utah (375417-4406) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1497859037
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameEVAN B THEOBALDCredential: CRNA
Location Address1000 E 100 NPayson, UT 84651-1600
Mailing Address32 W 1320 SPayson, UT 84651-3012 · (801) 465-3844
Fax(801) 733-5872
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497859037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in UT · 375417-4406
Definition
(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.
1000 E 100 N, Payson, UT 84651

Other Identifiers 3

Other34456UT · Healthy U
Other894814UT · Deseret Mutual
Medicare ID-Type UnspecifiedP00215104UT · Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1000 E 100 N
PAYSON, UT 84651
Psychiatry & Neurology (Psychiatry)
1000 E 100 N
PAYSON, UT 84651
Nurse Anesthetist, Certified Registered
1000 E 100 N
PAYSON, UT 84651
Nurse Practitioner (Acute Care)
1000 E 100 N
PAYSON, UT 84651
Psychiatric Unit
1000 E 100 N
PAYSON, UT 84651
Social Worker (Clinical)
1000 E 100 N
PAYSON, UT 84651
Nurse Practitioner (Psychiatric/Mental Health)
1000 E 100 N
PAYSON, UT 84651
Nurse Practitioner (Family)
1000 E 100 N
PAYSON, UT 84651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Theobald's NPI number?

The NPI number for Evan Theobald is 1497859037. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Evan Theobald located?

Evan Theobald practices at 1000 E 100 N, Payson, UT 84651. The listed phone number is (800) 748-4868.

What is Evan Theobald's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Evan Theobald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.