MR. RYAN DENNIS CHURCH (NPI# 1912909714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912909714 |
| Entity Type | Individual |
| Full Name | MR. RYAN DENNIS CHURCH |
| Credential | FNP-C |
| Practice Address |
1490 E Foremaster Dr Suite 220 St George UT 84790-4488 |
| Mailing Address |
Po Box 313 Toquerville UT 84774-0313 |
| Practice Telephone | 4356568366 |
| Practice Fax Number | 4356568370 |
| Mailing Telephone | 4352291992 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
278935-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UPIN | P99858 | 01 |
| UT | BCBS | 27893544001001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275978504 | Ryan Thomas Church | Dermatology | 1515 N Vermont Ave, 5th Floor - Dept of Dermatology, Los Angeles, CA 90027-5337 | 2013-04-30 |
| 1295743375 | Ryan Church | Chiropractor | 2879 E Dublin Granville Rd, Columbus, OH 43231-4063 | 2006-08-04 |
| Street Address |
1490 E FOREMASTER DR SUITE 220 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623092 | Jeffrey Lee Stewart | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2005-07-21 |
| 1396256293 | Craniom | Specialist/Technologist, Other | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2017-10-18 |
| 1790221687 | Wendy Utley | Nurse Practitioner | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2017-01-16 |
| 1033662705 | Brittany Garcia | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2016-07-29 |
| 1609252691 | Coral Desert Foot & Ankle PC | Durable Medical Equipment & Medical Supplies | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2015-08-03 |
| 1629480769 | Jacob Burrows | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2014-05-23 |
| 1740605963 | Ivo Kekoa Hanza | Nurse Practitioner | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2014-02-25 |
| 1578985438 | Emere Utah LLC | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 260, St George, UT 84790-4488 | 2014-01-13 |
| 1760752943 | Central Utah Clinic, P.C. | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 | 2012-01-05 |
| 1568754364 | Nathan W Aston | Physician Assistant | 1490 E Foremaster Dr, #150, St George, UT 84790-4488 | 2011-05-11 |
| 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 | 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 |
| 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.