ELISA EDWARDS (NPI# 1831558204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831558204 |
| Entity Type | Individual |
| Full Name | ELISA EDWARDS |
| Credential | APRN |
| Practice Address |
544 S 400 E St George UT 84770-3705 |
| Mailing Address |
884 Black Rock Dr Santa Clara UT 84765-5440 |
| Practice Telephone | 4356884212 |
| Mailing Telephone | 4356884212 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 6078476-4405 | UT | Hospitals |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6078476-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
544 S 400 E |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813474 | Rusty A Moore | Physical Medicine & Rehabilitation | 544 S 400 E, 5th Floor, St George, UT 84770-3705 | 2005-12-28 |
| 1265069066 | Ihc Health Services Inc | Internal Medicine | 544 S 400 E, St George, UT 84770-3705 | 2020-03-24 |
| 1477005783 | Nicole Cummins | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2016-11-03 |
| 1588057152 | Lisa Certonio | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2015-03-06 |
| 1073924312 | Nathaniel William Seck | Psychiatry & Neurology | 544 S 400 E, St George, UT 84770-3705 | 2014-05-08 |
| 1235481375 | Min Li | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-10-14 |
| 1215291992 | Matt Trane Webb | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-06-27 |
| 1053677245 | Richard C Tebbs II | Physician Assistant | 544 S 400 E, St George, UT 84770-3705 | 2012-04-02 |
| 1528339769 | Ihc Health Services Inc | Family Medicine | 544 S 400 E, St George, UT 84770-3705 | 2012-01-19 |
| 1417238601 | Ihc Health Services Inc | Preventive Medicine | 544 S 400 E, St George, UT 84770-3705 | 2011-09-01 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1487139994 | Private Healthcare Facilities | General Acute Care Hospital | 394 W Main St Ste 206, Lehi, UT 84043-2078 | 2018-10-01 |
| 1114451622 | Tracy Albers | General Acute Care Hospital | 844 S 800 E, Salt Lake City, UT 84102-3516 | 2017-04-12 |
| 1053854851 | Utah Emergnecy Physicians | General Acute Care Hospital | 2795 Foothill Dr, Ogden, UT 84403-0529 | 2016-11-28 |
| 1790236446 | Intermountain Healthcare | General Acute Care Hospital | 821 Edgewood Dr, Ogden, UT 84403-4233 | 2016-10-18 |
| 1184172249 | Intermountain | General Acute Care Hospital | 86 W 975 N, Hurricane, UT 84737-1735 | 2016-09-19 |
| 1720445307 | Intermountain Healthcare | General Acute Care Hospital | 884 Black Rock Dr, Santa Clara, UT 84765-5440 | 2016-01-27 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1720470974 | Jordan Valley Medical Center Lp | General Acute Care Hospital | 3000 N. Triumph Boulevard, Lehi, UT 84043-4999 | 2015-02-25 |
| 1962745786 | Univeristy of Utah | General Acute Care Hospital | University of Utah Hospitals & Clinics, 1c412 University Medical Center 30 North 1900 East, Salt Lake City, UT 84132-2155 | 2013-03-29 |
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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.