AFFORDABLE KETAMINE CLINICS, LLC
NPI 1568050052
Nurse Anesthetist, Certified Registered in Kaysville, UT

NPI Status: Active since January 09, 2021

Contact Information

375 N MAIN ST STE 202
KAYSVILLE, UT
ZIP 84037
Phone: (801) 450-7147
Fax: (385) 209-2975

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  • Organization
  • Nurse Anesthetist, Certified Registered

About AFFORDABLE KETAMINE CLINICS, LLC

This page provides the complete NPI Profile along with additional information for Affordable Ketamine Clinics, Llc, a provider established in Kaysville, Utah operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1568050052 assigned on January 2021. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Royce B Bartholomew Crna (Owner/manager)

NPI
1568050052
Provider Name
AFFORDABLE KETAMINE CLINICS, LLC
Entity Type
Organization
Location Address
375 N MAIN ST STE 202 KAYSVILLE, UT 84037
Location Phone
(801) 450-7147
Location Fax
(385) 209-2975
Mailing Address
375 N MAIN ST STE 202 KAYSVILLE, UT 84037
Mailing Phone
(801) 450-7147
Mailing Fax
(385) 209-2975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2021
Last Update Date
01-09-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROYCE B BARTHOLOMEW CRNA

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(801) 372-1888

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
528884092034MEDICAID (05)UT 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568050052, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 0 + 5 + 0 + 0 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1568050052.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Social Worker
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Public Health or Welfare
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Social Worker
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Clinic/Center (Adult Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Psychologist (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Counselor (Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Counselor (Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568050052, enumerated as an "organization" on January 09, 2021.

The provider is located at 375 N MAIN ST STE 202 KAYSVILLE, UT 84037 and the phone number is (801) 450-7147.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.