NPIMap

Organization Active NPI

Dixie Palliative Care, LLC

  • Medical Specialty Clinic/Center
  • St George, UT
National Provider Identifier
1780214734
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DIXIE PALLIATIVE CARE, LLC
Practice address
352 E Riverside Dr Ste B3B
St George, UT 84790-5808
Phone
(435) 628-8347
NPI assigned
Jan 17, 2020
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Melissa Giustina Nielsen
Title
Admin
Phone
(435) 628-8347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

352 E Riverside Dr Ste B3B
St George, UT 84790-5808

Mailing address

352 E Riverside Dr Ste B3B
St George, UT 84790-5808
Phone (435) 628-8347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200508000518 UT Part B Supplier - Clinic/Group Practice 2264863133 Receives reassigned benefits from 20 practitioners
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1780214734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR STE B3B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905808",
            "telephone_number": "435-628-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR STE B3B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905808",
            "telephone_number": "435-628-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "GIUSTINA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "435-628-8347"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.