Individual provider Active NPI

Sophia Wei, FNP-BC, NP-C

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1144983107
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12347174-4405 Issued in UT
Practice address
169 W 2710 South Cir Ste 101
St George, UT 84790-7202
Phone
(435) 674-3552
Fax
(435) 674-5905
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12347174-8900 UT
Family Nurse Practitioner 363LF0000X 12347174-4405 UT Primary

Addresses

Primary practice location

169 W 2710 South Cir Ste 101
St George, UT 84790-7202

Mailing address

169 W 2710 South Cir Ste 101
St George, UT 84790-7202
Phone (435) 674-3552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktrimble@dixie.emadirect.md Dixie Dermatology

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240626002095 UT Practitioner - Nurse Practitioner 0042608598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dixie Dermatology a Professional CorporationGroup PAC ID 5890747216, 3 clinicians

Practice addresses (Care Compare)

169 W 2710 S Cir
Suite 101
Saint George, UT 84790-7202

169 W 2710 S Circle
Suite 101
Saint George, UT 84790-7202
Phone (435) 674-3552

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12347174-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dixie Dermatology a Professional Corporation CurrentSince Jun 7, 2024 Accepting new patients
April Larson MD, PC PastSince Oct 24, 2021 Accepting new patients

Locations

169 W 2710 South Cir
Ste 101
St George, UT 84790
Phone (435) 674-3552

Interoperability endpoints

  • Direct secure messaging: ktrimble@dixie.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1144983107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907202",
            "telephone_number": "435-674-3552",
            "fax_number": "435-674-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907202",
            "telephone_number": "435-674-3552",
            "fax_number": "435-674-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEI",
        "first_name": "SOPHIA",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12347174-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12347174-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktrimble@dixie.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Dixie Dermatology",
            "address_1": "169 W 2710 South Cir Ste 101",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847907202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.