Michelle Anderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9194929-3102 Issued in UT

Practice address

620 S 400 E
Suite 400
St. George, UT 84770-3700

Phone

(435) 652-4078

Fax

(435) 628-6425

NPI assigned

Apr 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Michelle Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Southwest Utah Public Health Department

  • Public Health or Welfare Agency
  • St George, UT
  • NPI 1619062759
  NPD (past)
• Southwest Utah Public Health Dept

  • Public Health or Welfare Agency
  • St George, UT
  • NPI 1306841606
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1073908653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 400 E",
            "address_2": "SUITE 400",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847703700",
            "telephone_number": "435-652-4078",
            "fax_number": "435-628-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S 400 E",
            "address_2": "SUITE 400",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847703700",
            "telephone_number": "435-652-4078",
            "fax_number": "435-628-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "9194929-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "YOUNG",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makayla Anderson
• Makenna Anderson
• Matavai Leilah Anderson
• Micah Anderson
• Michael Anderson, M.D.
• Michelle L Anderson, TRT
• Paige Anderson, LMT
• Paul Darren Anderson, D.M.D.
• Preston Michael Anderson, DO
• Robert Brad Anderson

• Registered Nurse in St. George, UT
• Providers in St. George, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.