Individual provider Active NPI

Robert Holt Gemmill, DSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1073753984
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116727-3501 Issued in UT
Practice address
747 East St. George Blvd
Red Rock Canyon School
St. George, UT 84770-6210
Phone
(435) 673-6111
Fax
(435) 673-0994
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116727-3501 UT Primary

Addresses

Primary practice location

747 East St. George Blvd
Red Rock Canyon School
St. George, UT 84770-6210

Mailing address

747 East St. George Blvd
Red Rock Canyon School
St. George, UT 84770-6210
Phone (435) 673-6111

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

State licenses

LicenseStateTypeSpecialty
116727-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1073753984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 EAST ST. GEORGE BLVD",
            "address_2": "RED ROCK CANYON SCHOOL",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847706210",
            "telephone_number": "435-673-6111",
            "fax_number": "435-673-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 EAST ST. GEORGE BLVD",
            "address_2": "RED ROCK CANYON SCHOOL",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847706210",
            "telephone_number": "435-673-6111",
            "fax_number": "435-673-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMILL",
        "first_name": "ROBERT",
        "middle_name": "HOLT",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "116727-3501",
            "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 Mar 5, 2009; 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.