Individual provider Active NPI

Heather L Jorgensen

  • Advanced Practice Midwife
  • St George, UT
National Provider Identifier
1548787708
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
138537734402 Issued in UT
Practice address
295 S 1470 E Ste 300
St George, UT 84790-1962
Phone
(435) 674-0999
Fax
(435) 674-0960
NPI assigned
Aug 28, 2017
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 138537734402 UT Primary

Addresses

Primary practice location

295 S 1470 E Ste 300
St George, UT 84790-1962

Mailing address

295 S 1470 E Ste 300
St George, UT 84790-1962
Phone (435) 674-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930002703 UT Practitioner - Certified Nurse Midwife (CNM) 7517203797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Oregon Health Sciences University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George OBGYN LLCGroup PAC ID 3173793841, 6 clinicians

Practice addresses (Care Compare)

295 S 1470
Suite 300
St George, UT 84790-1962
Phone (435) 674-0999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
138537734402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St. George OBGYN LLC CurrentSince Sep 1, 2024 Accepting new patients
My Other Me PastSince Oct 1, 2018 Accepting new patients

Locations

295 S 1470 E
Ste 300
St George, UT 84790
Phone (435) 674-0999

Interoperability endpoints

  • Direct secure messaging: hjorgensen542254@oc.providencedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1548787708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901962",
            "telephone_number": "435-674-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901962",
            "telephone_number": "435-674-0999",
            "fax_number": "435-674-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "HEATHER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "138537734402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.