BROOKANNE J MICKELSON (NPI# 1013916915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013916915 |
| Entity Type | Individual |
| Full Name | BROOKANNE J MICKELSON |
| Credential | FNP-BC |
| Practice Address |
652 S Medical Center Dr Ste 110 St George UT 84790-7049 |
| Practice Telephone | 4356562424 |
| Practice Fax Number | 4356562828 |
| Mailing Telephone | 4356562424 |
| Mailing Fax Number | 4356562828 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 222657-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
652 S MEDICAL CENTER DR STE 110 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561848 | Jacob Daniel Earl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2020-06-01 |
| 1013562875 | Alexa Atkin | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-08-07 |
| 1265090039 | Kelli D Reese | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-06-05 |
| 1932666781 | Health Services Inc | Preventive Medicine | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-02-28 |
| 1134683774 | Michelle Lynn Schierl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-28 |
| 1871067090 | Danielle Marie Smith | Hospitalist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-22 |
| 1942733126 | David Scott Foisy | Nurse Practitioner | 652 S Medical Center Dr, St George, UT 84790-7049 | 2017-04-05 |
| 1588119622 | Kashae Anderson | Physician Assistant | 652 S Medical Center Dr, Ste 420, St George, UT 84790-7049 | 2016-08-18 |
| 1265887343 | Michelle Hudson | Specialist/Technologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2016-04-26 |
| 1588028088 | Jennifer Lee Terry | Specialist/Technologist | 652 S Medical Center Dr, Suite 120, St George, UT 84790-7049 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801393236 | William C Caplin | Nurse Practitioner | 1449 N 1400 W Ste 19, St George, UT 84770-5237 | 2018-04-11 |
| 1194266148 | Shanna Foote | Nurse Practitioner | 3197 S 2950 E, St George, UT 84790-5134 | 2017-03-10 |
| 1518418623 | Erica Nichole Olson | Nurse Practitioner | 1380 E Medical Center Dr Ste 2200, St George, UT 84790-2130 | 2016-10-24 |
| 1578504502 | Cynthia Mcalhany Mcclure | Nurse Practitioner | 109 Dukes St, St George, SC 29477 | 2006-06-09 |
| 1710937826 | Kristine R Carter | Nurse Practitioner | 1739 West Sunset Blvd, St George, UT 84770-1885 | 2006-05-11 |
| 1861488900 | Jana M Leany | Nurse Practitioner | 1380 E Medical Center Drive, St George, UT 84790 | 2005-09-23 |
| 1982202446 | Alana Jeanne Bradbury | Nurse Practitioner | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2020-10-15 |
| 1639704471 | Marissa Larson Hughes | Nurse Practitioner | 1380 E Medical Center Dr Ste 4100, St George, UT 84790-2156 | 2020-03-11 |
| 1629619531 | Lisa Kogan | Nurse Practitioner | 720 S River Rd Ste C240, St George, UT 84790-2103 | 2019-10-02 |
| 1447807540 | Kayla Boyer | Nurse Practitioner | 577 S River Rd, St George, UT 84790-2097 | 2019-08-22 |
| Find all providers in ST GEORGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.