Maranda Star Carlile, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

375828-4405 Issued in UT

Practice address

352 E Riverside Dr Ste a-1a
St George, UT 84790-6758

Phone

(435) 565-1384

Fax

(435) 355-3938

NPI assigned

Apr 30, 2017

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021
• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22630/brand/1/csg/1/fhir/r4
• Direct secure messaging: maranda.carlile.1@22630.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Astra Health and Wellness, LLC

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1417653031
  Medicare reassignment NPD Authorized official

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

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1376078196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR STE A-1A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906758",
            "telephone_number": "435-565-1384",
            "fax_number": "435-355-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR STE A-1A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906758",
            "telephone_number": "435-565-1384",
            "fax_number": "435-355-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3272 E Rio Virgin Rd",
            "address_purpose": "LOCATION",
            "city": "Littlefield",
            "state": "AZ",
            "postal_code": "864323200",
            "country_code": "US",
            "telephone_number": "928-347-5971",
            "fax_number": "928-347-5793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "MARANDA",
        "middle_name": "STAR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002492",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "375828-4405",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "375828-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caregivers, Inc. (Care to Stay Home)
• Caregivers, Inc. (Care To Stay Home)
• Melissa Cori Carey, CPSS
• Zachary Carey
• Davis McKay Carlile
• Angel Carlson
• Joshua Noren Carlson, M.D.
• Casey Carney
• Carol's Personal Mastectomy Boutique of Southern Utah LLC (Carols Post Mastectomy Spec)
• Cody John Carpenter, OTR/L

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.