Active NPI
Elevated Mental Health and Wellness Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- St George, UT
National Provider Identifier
1396568820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ELEVATED MENTAL HEALTH AND WELLNESS CENTER LLC
- Practice address
- 249 E Tabernacle St Ste 104
St George, UT 84770-2951 - Phone
- (435) 625-1159
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelia White
- Title
- Employee
- Phone
- (435) 668-2108
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
249 E Tabernacle St Ste 104
St George, UT 84770-2951
Mailing address
249 E Tabernacle St Ste 104
St George, UT 84770-2951
Phone (435) 625-1159
National Provider Directory
National Provider DirectoryLocations
249 E Tabernacle St
Ste 104
St George, UT 84770
Phone (435) 625-1159
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1396568820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 E TABERNACLE ST STE 104",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702951",
"telephone_number": "435-625-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 E TABERNACLE ST STE 104",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702951",
"telephone_number": "435-625-1159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATED MENTAL HEALTH AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "SHELIA",
"authorized_official_title_or_position": "EMPLOYEE",
"authorized_official_telephone_number": "435-668-2108"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.