Julia Black

Individual provider Active NPI Community Health Worker · St George, UT

NPI 1649145376 · NPPES record last updated Oct 10, 2025

Key facts

NPI
1649145376
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
340 E 600 S
St George, UT 84770-3949
Phone
(435) 705-7574
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X UT Yes

Addresses

Primary practice location

340 E 600 S
St George, UT 84770-3949

Mailing address

340 E 600 S
St George, UT 84770-3949
Phone (435) 705-7574

Other providers in St George, UT

All providers in St George, UT · Community Health Worker in Utah

Sources for this page

Verify at the official NPI Registry.