Heather Rose Bandle, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7239980-4405 Issued in UT

Practice address

2162 E 2800 S
St George, UT 84790-6235

Phone

(435) 268-2363

Fax

(435) 215-2563

NPI assigned

Oct 25, 2015

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rosewood Medicine LLC

  • Primary Care Clinic/Center
  • St George, UT
  • NPI 1245834878
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1023480449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910876",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847910876",
            "telephone_number": "435-268-2363",
            "fax_number": "435-215-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 E 2800 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906235",
            "telephone_number": "435-268-2363",
            "fax_number": "435-215-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDLE",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-25",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7239980-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Balentine
• Blair McKay Ballard, DC
• Debra Ballard
• Jesse Ballard, FNP-C
• Michelle Catherine Ballard, NP-C
• Jennifer Bankhead, LMT
• Benjamin Howard Banks
• Sally Ann Banks, LCSW
• Steven Howard Banks, DMD
• Kelsey Banner, DPT

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.