Active NPI
Dixie Palliative Care, LLC
- Medical Specialty Clinic/Center
- St George, UT
National Provider Identifier
1780214734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Melissa Giustina Nielsen
- Title
- Admin
- Phone
- (435) 628-8347
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2020.
{
"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.