Organization Active NPI

Emerson Jane Wellness Center, LLC

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1841964871
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EMERSON JANE WELLNESS CENTER, LLC
Practice address
1664 S Dixie Dr Ste L106
Saint George, UT 84770-7331
Phone
(435) 633-6933
Fax
(866) 230-2163
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Jilleen Langston Kirkland, FNP-BCNPI 1578131330
Title
Owner/Nurse Pracitioner
Phone
(435) 633-6933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1664 S Dixie Dr Ste L106
Saint George, UT 84770-7331

Mailing address

172 S 200 E
Saint George, UT 84770-3436

National Provider Directory

National Provider Directory

Locations

1664 S Dixie Dr
Ste L106
St George, UT 84770
Phone (435) 633-6933

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1841964871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 S 200 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE L106",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707331",
            "telephone_number": "435-633-6933",
            "fax_number": "866-230-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON JANE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LANGSTON KIRKLAND",
        "authorized_official_first_name": "JILLEEN",
        "authorized_official_title_or_position": "OWNER/NURSE PRACITIONER",
        "authorized_official_telephone_number": "435-633-6933",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.