Wendell Truman Nilson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

167758-1205 Issued in UT

Practice address

1240 E 100 S Ste 14
Saint George, UT 84790-3005

Phone

(435) 634-0055

Fax

(435) 674-7994

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Jerry D Twiggs MD PC

  dba Dixie Pediatrics

  • Pediatric Adolescent Medicine Physician
  • St George, UT
  • NPI 1578763702
  NPD (past)
• Night Light Pediatrics LLC

  • Pediatric Adolescent Medicine Physician
  • St George, UT
  • NPI 1295855914
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1205883576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 14",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847903005",
            "telephone_number": "435-634-0055",
            "fax_number": "435-674-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 14",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847903005",
            "telephone_number": "435-634-0055",
            "fax_number": "435-674-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSON",
        "first_name": "WENDELL",
        "middle_name": "TRUMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "167758-1205",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "204952-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nielson
• Sarah Nielson, S.S.W.
• Tyler Nielson
• Stacy Leigh Niemann
• Night Light Pediatrics LLC
• Eric William Nilsson
• Mark William Nilsson, B.S. BC-HIS
• Lynn R. Nimer, M.D.
• Samoa Alii Solia Nio
• Kelvin Q Nisson, DDS

• Pediatrics Physician in St George, UT
• Providers in St George, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.