Individual provider Active NPI

Kindra Backman Celani, DNP, FNP-C

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1639609357
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8294176-4405 Issued in UT
Practice address
1380 E Medical Center Dr Ste 1500
St George, UT 84790
Phone
(435) 251-2500
NPI assigned
Jun 14, 2017
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8294176-4405 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr Ste 1500
St George, UT 84790

Mailing address

1171 Hubbard PL
Saint George, UT 84790-6807
Phone (303) 829-0904

Other practice location 1

1171 Hubbard Pl
St George, UT 84790-6807
Phone (303) 829-0904

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CareAwareConnect

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801001782 UT Practitioner - Nurse Practitioner 1759652316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8294176-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
Ste 1500
St George, UT 84790
Phone (435) 251-2500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1639609357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 HUBBARD PL",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847906807",
            "telephone_number": "303-829-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR STE 1500",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-251-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Hubbard Pl",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847906807",
            "country_code": "US",
            "telephone_number": "303-829-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELANI",
        "first_name": "KINDRA",
        "middle_name": "BACKMAN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8294176-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CareAwareConnect",
            "affiliation": "N",
            "address_1": "1380 E Medical Center Dr Ste 1500",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.