Evie Anna Waters · Certified Registered Nurse Anesthetist

6757 S Glade Creek Dr, West Jordan, UT 84081-6086

Overview

Evie Anna Waters is a Certified Registered Nurse Anesthetist practicing in Tooele, Utah. The National Provider Identifier (NPI) is #1568161065, which was assigned on February 23, 2023, and the registration record was last updated on March 20, 2026. The practitioner's main practice location is at 2055 N Main St, Tooele, UT 84074-9819; the contact telephone number is 4358433600. The primary taxonomy of Evie Anna Waters is Certified Registered Nurse Anesthetist (367500000X). Evie Anna Waters is licensed to practice in the state of Utah (#12419563-4406).

(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.

Provider Information

NPI 1568161065
Entity Type Individual
Provider Name EVIE ANNA WATERS
Gender Female
Practice Address 2055 N Main St
Tooele
UT 84074-9819
Practice Telephone 4358433600
Mailing Address 6757 S Glade Creek Dr
West Jordan
UT 84081-6086
Mailing Telephone 9096459993
Certification Date 2026-03-20
Enumeration Date 2023-02-23
Last Update Date 2026-03-20
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2264806728
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name EVIE ANNA PURDOM
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Organization Legal Name DESERT PEAK ANESTHESIA, LLC
Address 2055 N Main St
Tooele
UT 84074-9819

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y367500000XNurse Anesthetist, Certified Registered12419563-4406UT

Taxonomy Information

Primary Taxonomy

Code 367500000X
Taxonomy Certified Registered Nurse Anesthetist
Classification Nurse Anesthetist, Certified Registered
Grouping Physician Assistants & Advanced Practice Nursing Providers
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.
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.

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Location Information

Street Address 6757 S GLADE CREEK DR
City WEST JORDAN
State UT
Zip Code 84081-6086
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jason Allen Burge 8632 S 4950 W, West Jordan, UT 84081-4865Family Nurse Practitioner2025-08-11
Vanessa Marie Lazcano 6828 W Hera Way, West Jordan, UT 84081-4220Behavior Technician2025-11-19
Tawny Cruz 5481 W 7800 S, West Jordan, UT 84081-6024Physical Therapy Assistant2025-10-29
Paul Tonga Langi · Sky Home Services Inc 8304 S 5150 W, West Jordan, UT 84081-2707Adult Care Home Facility2023-09-11
Adriana V Vega 8277 S Birch Water Ln, West Jordan, UT 84081-5738Student in an Organized Health Care Education/Training Program2025-12-23
Ronnie Brooke Smolik 6154 W Cedar Hill Rd, West Jordan, UT 84081-3118Medical-Surgical Registered Nurse2022-04-21
Hailey Vandenhazel 4872 W 6200 S, Kearns, UT 84081Pharmacotherapy Pharmacist2025-10-23
Crystal Glaser 5481 W 7800 S Ste 110, West Jordan, UT 84081-6027Chiropractor2016-01-28
Complete Smiles Mountain View - Accelerate LLC 5481 W 7800 S Ste 150, West Jordan, UT 84081-6030Dentist2023-07-25
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.