Individual provider Active NPI

Lyndee Ann Miller, PA-C

  • Physician Assistant
  • St George, UT
National Provider Identifier
1720720253
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
292 S 1470 E Ste 100
Saint George, UT 84790-1764
Phone
(435) 628-9200
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

292 S 1470 E Ste 100
Saint George, UT 84790-1764

Mailing address

5708 S Arron LN
Saint George, UT 84790-2736
Phone (208) 501-3146

Other names 1

  • Lyndee Ann Hoopes Former name

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
I20241220002590 UT Order and Referring Only - Physician Assistant 0345777983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Internal Medicine, P. C. CurrentSince Sep 23, 2024 Accepting new patients

Locations

1490 E Foremaster Dr
Ste 210
St George, UT 84790
Phone (435) 628-9200

292 S 1470 E
Ste 100
St George, UT 84790
Phone (435) 628-9200

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, 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": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1720720253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 S ARRON LN",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902736",
            "telephone_number": "208-501-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S 1470 E STE 100",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901764",
            "telephone_number": "435-628-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYNDEE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDEE",
            "last_name": "HOOPES",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.