HEATHER ROSE BANDLE (NPI# 1023480449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023480449 |
| Entity Type | Individual |
| Full Name | HEATHER ROSE BANDLE |
| Credential | NP-C |
| Practice Address |
640 E 700 S Suite 105 St George UT 84770-4023 |
| Mailing Address |
1117 Tamarisk Dr St George UT 84790-6934 |
| Practice Telephone | 4356887770 |
| Practice Fax Number | 4356888122 |
| Mailing Telephone | 4353136764 |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2015-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7239980-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
640 E 700 S SUITE 105 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215908322 | Jacqueline L Murray | Physician Assistant | 640 E 700 S, #105, St George, UT 84770-4023 | 2006-01-27 |
| 1407239080 | Southern Utah Neurology, Inc. | Psychiatry & Neurology | 640 E 700 S, #204, St George, UT 84770-5732 | 2015-07-01 |
| 1275916777 | Andrus Prosthodontics Lc | Prosthetic/Orthotic Supplier | 640 E 700 S, Suite 104, St George, UT 84770-4023 | 2015-07-01 |
| 1851788590 | Heath Gabriel Dehart | Physician Assistant | 640 E 700 S, Suite 105, St George, UT 84770-4023 | 2015-04-21 |
| 1568701456 | Life Balance Clinic | Chiropractor | 640 E 700 S, Ste 203, St George, UT 84770-4023 | 2013-02-12 |
| 1861766586 | Justin Gordon | Marriage & Family Therapist | 640 E 700 S, Suite 201, St George, UT 84770-4023 | 2012-02-27 |
| 1164690467 | Robin Berger Md PC | Dermatology | 640 E 700 S, Suite 1, St George, UT 84770-4023 | 2008-02-20 |
| 1356551444 | Richard J. Kunde | Dentist | 640 E 700 S, Building 10-d, St George, UT 84770-4023 | 2007-05-23 |
| 1891907655 | Rodney L Andrus | Dentist | 640 E 700 S, Ste 104, St George, UT 84770-4023 | 2007-05-04 |
| 1619192861 | Advanced Pulmonary, Sleep Disorder and Internal Medicine,llc | Clinic/Center | 640 E 700 S, Suite 105, St George, UT 84770-4023 | 2007-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063531 | Rachelle Sullivan | Nurse Practitioner | 3301 E 3100 S, St George, UT 84790-1385 | 2020-01-27 |
| 1245709807 | Connected Medical Group, L L C | Nurse Practitioner | 2306 E 3860 S, St George, UT 84790-5025 | 2018-11-13 |
| 1407321722 | Trent Kenworthy | Nurse Practitioner | 617 E Riverside Dr Apt 302, St George, UT 84790-8722 | 2018-10-13 |
| 1154800761 | Rebekah Leigh Bracken | Nurse Practitioner | 2351 S River Rd Ste 5, St George, UT 84790-8280 | 2018-08-14 |
| 1124571187 | Jennette Watts | Nurse Practitioner | 348 N Bluff St # 202, St George, UT 84770-4832 | 2016-07-26 |
| 1750789954 | Staci Steed | Nurse Practitioner | 1037 E 100 S, St George, UT 84770-3006 | 2014-12-21 |
| 1962808840 | Donna De Silva | Nurse Practitioner | 1240 E 100 S Ste 18b, St George, UT 84790-3074 | 2014-11-05 |
| 1205242773 | Brady Golding | Nurse Practitioner | 1134 E Fort Pierce Dr N, St George, UT 84790-8897 | 2014-07-06 |
| 1669814489 | Dawn Hansen | Nurse Practitioner | 295 S 1470 E # 300, St George, UT 84790-1762 | 2013-07-22 |
| 1972846384 | Alberto W Souza | Nurse Practitioner | 169 W 2710 South Cir Ste 201b, St George, UT 84790-7204 | 2013-04-03 |
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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.