IndividualActive
Jed Widdison, CRNA
NPI 1598731598 · Certified Registered Nurse Anesthetist · Provo, UT
Provider details
- NPI number
- 1598731598
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 362537-4406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 River Park Dr Ste 125
Provo, UT 84604-6065
Phone: (801) 437-4500
Street-level locationGet directions
Mailing address
320 River Park Dr
Provo, UT 84604-6060
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2009-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.