Active NPI
Knee Regeneration and Advanced Healthcare of St George
- Nurse Practitioner
- Saint George, UT
National Provider Identifier
1316650666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- KNEE REGENERATION AND ADVANCED HEALTHCARE OF ST GEORGE
- Practice address
- 640 E 700 S Ste 206
Saint George, UT 84770-5732 - Phone
- (928) 607-0407
- NPI assigned
- Jan 3, 2023
- Organization subpart
- Yes
- Parent organization
- KNEE REGENERATION AND ADVANCED HEALTHCARE OF ST GEORGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Shinkle
- Title
- Clinic Owner
- Phone
- (928) 607-0407
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
640 E 700 S Ste 206
Saint George, UT 84770-5732
Mailing address
640 E 700 S Ste 206
Saint George, UT 84770-5732
Phone (928) 607-0407
Other names 1
- Utah Knee and Joint Clinic
National Provider Directory
National Provider Directory- Part of
- Knee Regeneration and Advanced Healthcare of St George
Locations
640 E 700 S
Ste 206
St George, UT 84770
Phone (435) 773-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1316650666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E 700 S STE 206",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847705732",
"telephone_number": "928-607-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E 700 S STE 206",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847705732",
"telephone_number": "928-607-0407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNEE REGENERATION AND ADVANCED HEALTHCARE OF ST GEORGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KNEE REGENERATION AND ADVANCED HEALTHCARE OF ST GEORGE",
"enumeration_date": "2023-01-03",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "SHINKLE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CLINIC OWNER",
"authorized_official_telephone_number": "928-607-0407"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Utah Knee and Joint Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.