Organization Active NPI

Rosewood Medicine LLC

  • Primary Care Clinic/Center
  • St George, UT
National Provider Identifier
1245834878
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROSEWOOD MEDICINE LLC
Practice address
2162 E 2800 S
St George, UT 84790-6235
Phone
(435) 268-2363
Fax
(435) 215-2563
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mrs. Heather Rose Bandle, NP-C
Title
Nurse Practitioner/Owner
Phone
(435) 268-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2162 E 2800 S
St George, UT 84790-6235

Mailing address

PO Box 910876
St George, UT 84791-0876
Phone (435) 268-2363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1245834878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910876",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847910876",
            "telephone_number": "435-268-2363",
            "fax_number": "435-215-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 E 2800 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906235",
            "telephone_number": "435-268-2363",
            "fax_number": "435-215-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "BANDLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "435-268-2363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Nov 24, 2020; 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.