Active NPI
Roxie A Brown, CNS
- Medical-Surgical Clinical Nurse Specialist
- St George, UT
National Provider Identifier
1396851028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 262909-4405
- Practice address
- 368 E Riverside Dr
Suite a
St George, UT 84790-6896 - Phone
- (435) 673-1149
- Fax
- (435) 673-1182
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 262909-4405 | UT | Primary |
Addresses
Primary practice location
368 E Riverside Dr
Suite a
St George, UT 84790-6896
Mailing address
6360 S 3000 E
Suite 300
Salt Lake City, UT 84121-6926
Phone (801) 944-3199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890000484 | Other | UT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262909-4405 | UT | MD | Medical-Surgical Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1396851028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 S 3000 E",
"address_2": "SUITE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216926",
"telephone_number": "801-944-3199",
"fax_number": "801-944-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 E RIVERSIDE DR",
"address_2": "SUITE A",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906896",
"telephone_number": "435-673-1149",
"fax_number": "435-673-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROXIE",
"middle_name": "A",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "UT",
"license": "262909-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "890000484",
"state": "UT"
}
],
"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 Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.