Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Nathan Memmott, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1760059612

Tyler Nathan Memmott, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Nephi, Utah. Qualified in 2021, 5 years ago. Practices with Salt Creek Anesthesia PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
5
Licensed in
NE
In the registry since
2021
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1766 W 800 S
Nephi, UT 84648-5516
Phone: (435) 623-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 38th St, Columbus, NE 68601-1664 — (402) 564-7118

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 101640 (NE)

Record details

NPI number1760059612
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Salt Creek Anesthesia Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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