Individual provider Active NPI

Sunie Thomas, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint George, UT
National Provider Identifier
1669109039
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2759308900 Issued in UT
Practice address
640 E 700 S Ste 205a
Saint George, UT 84770-4023
Phone
(435) 652-1897
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2759308900 UT Primary

Addresses

Primary practice location

640 E 700 S Ste 205a
Saint George, UT 84770-4023

Mailing address

640 E 700 S Ste 205a
Saint George, UT 84770-4023
Phone (435) 652-1897

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
I20220929003018 UT Practitioner - Nurse Practitioner 8022494939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. George Children and Family Psychiatric Center PCGroup PAC ID 5294906855, 13 clinicians

Practice addresses (Care Compare)

230 N 1680
Suite H1
St George, UT 84790-2584
Phone (435) 652-1897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2759308900UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. George Children & Family Psychiatric Center PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1156 S Bentley Blvd
Unit 2
Cedar City, UT 84720
Phone (435) 652-1897

640 E 700 S
Ste 205A
St George, UT 84770
Phone (435) 652-1897

230 N 1680 E
Ste H1
St George, UT 84790
Phone (435) 652-1897

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1669109039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 205A",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-652-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 205A",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-652-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUNIE",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "2759308900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.