Carrie Idamae Bistline
Individual provider Active NPI Community Health Worker · St George, UT
NPI 1205565173 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1205565173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 474 W 200 N # 300
St George, UT 84770-4505 - Phone
- (435) 634-5600
- Fax
- (435) 986-8700
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
474 W 200 N # 300
St George, UT 84770-4505
Mailing address
474 W 200 N # 300
St George, UT 84770-4505
Phone (435) 634-5600
Other names
- Carrie Idamae Pipkin
Other providers in St George, UT
- Kristine Bird
- Ralph Gilbert Bird
- Shantel Bishoff
- Autumn Bishop
- Bruce Grant Lyman Bishop
- Sidena Bitton
- Cameron Talmage Black
- Christopher D Black
- Julia Black
- Jordan Lee Blackham
All providers in St George, UT · Community Health Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.