Individual provider Active NPI

Wade Lee Wahlquist, RN, BSN

  • Registered Nurse
  • St George, UT
National Provider Identifier
1043157308
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
7741340-3102 Issued in UT
Practice address
377 E Riverside Dr Ste B
St George, UT 84790-4749
Phone
(435) 862-8273
NPI assigned
May 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 7741340-3102 UT Primary

Addresses

Primary practice location

377 E Riverside Dr Ste B
St George, UT 84790-4749

Mailing address

1787 N 2500 W
St George, UT 84770-4737
Phone (435) 862-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
7741340-3102UTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates, PC PastSince Feb 11, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1043157308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 N 2500 W",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704737",
            "telephone_number": "435-862-8273",
            "fax_number": "435-275-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 E RIVERSIDE DR STE B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904749",
            "telephone_number": "435-862-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLQUIST",
        "first_name": "WADE",
        "middle_name": "LEE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "7741340-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.