Individual provider Active NPI

Ryan White

  • Psychiatric/Mental Health Nurse Practitioner
  • St George, UT
National Provider Identifier
1770039356
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7996304-4405 Issued in UT
Practice address
1490 E Foremaster Dr Ste 140
St George, UT 84790-4532
Phone
(435) 572-0795
Fax
(877) 851-4180
NPI assigned
Sep 1, 2016
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7996304-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7996304-4405 UT Primary

Addresses

Primary practice location

1490 E Foremaster Dr Ste 140
St George, UT 84790-4532

Mailing address

1490 E Foremaster Dr Ste 140
St George, UT 84790-4532
Phone (435) 572-0795

Other practice location 1

249 E Tabernacle St Ste 104
St George, UT 84770-2951
Phone (435) 625-1159

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
I20161007001412 UT Practitioner - Nurse Practitioner 9537457403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah a Christensen PHD and Associates, IncGroup PAC ID 6901891498, 27 clinicians
Trauma Treatment and Counseling LLCGroup PAC ID 3476900796, 8 clinicians

Practice addresses (Care Compare)

248 E 13800
Suite 4
Draper, UT 84020-5011
Phone (702) 483-5044

249 E Tabernacle St
Suite 100
St George, UT 84770-2951
Phone (801) 995-1788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7996304-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Valley Hospital Current Accepting new patients
Elevated Mental Health and Wellness Center LLC Family CurrentSince Dec 8, 2024 Accepting new patients
Beaver Medical, LLC CurrentSince May 15, 2024 Accepting new patients
Trauma Treatment & Counseling LLC Psychiatric/Mental Health CurrentSince Dec 23, 2024 Accepting new patients
Deborah a Christensen PHD & Associates, Inc CurrentSince Dec 1, 2025 Accepting new patients
Corner Canyon Counseling PastSince Nov 7, 2025 Accepting new patients

Locations

1579 N Main St
Ste 106
Cedar City, UT 84721
Phone (435) 227-5506

248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044

249 E Tabernacle St
Ste 100
St George, UT 84770
Phone (435) 227-5506

249 E Tabernacle St
Ste 104
St George, UT 84770
Phone (435) 625-1159

Organizations & group practices 6

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1770039356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 140",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904532",
            "telephone_number": "435-572-0795",
            "fax_number": "877-851-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 140",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904532",
            "telephone_number": "435-572-0795",
            "fax_number": "877-851-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 E Tabernacle St Ste 104",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847702951",
            "country_code": "US",
            "telephone_number": "435-625-1159",
            "fax_number": "435-319-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7996304-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7996304-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.