Individual provider Active NPI

Suzanne Marie Guzman, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Saint George, UT
National Provider Identifier
1841900552
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
195895-4405 Issued in UT
Practice address
295 S 1470 E Ste 200
Saint George, UT 84790-1963
Phone
(435) 628-1662
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 195895-4405 UT
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 195895-4405 UT Primary

Addresses

Primary practice location

295 S 1470 E Ste 200
Saint George, UT 84790-1963

Mailing address

295 S 1470 E Ste 200
Saint George, UT 84790-1963
Phone (435) 628-1662

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
I20230310002196 UT Practitioner - Nurse Practitioner 3072986140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George OBGYN LLCGroup PAC ID 3173793841, 6 clinicians

Practice addresses (Care Compare)

295 S 1470
Suite 300
St George, UT 84790-1962
Phone (435) 674-0999

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195895-4405UTMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Mar 6, 2023 Accepting new patients
St. George OBGYN LLC Obstetrics & Gynecology CurrentSince Aug 12, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology CurrentSince Mar 6, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology PastSince Aug 12, 2023 Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

295 S 1470 E
Ste 200
St George, UT 84790
Phone (435) 628-1662

295 S 1470 E
Ste 300
St George, UT 84790
Phone (435) 674-0999

Organizations & group practices 5

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.

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1841900552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901963",
            "telephone_number": "435-628-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847901963",
            "telephone_number": "435-628-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "195895-4405",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "195895-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.