Individual provider Active NPI

Tamarah Lynn Hinkle, FNP

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1861041618
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8207012-4405 Issued in UT
Practice address
595 S Bluff St Ste 6
Saint George, UT 84770-3593
Phone
(435) 628-5851
Fax
(435) 628-5852
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8207012-4405 UT Primary

Addresses

Primary practice location

595 S Bluff St Ste 6
Saint George, UT 84770-3593

Mailing address

595 S Bluff St Ste 6
Saint George, UT 84770-3593
Phone (435) 628-5851

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
I20200214001299 UT Practitioner - Nurse Practitioner 1557797313 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Terrell Hinkle DO PC CurrentSince Dec 4, 2019 Accepting new patients

Locations

595 S Bluff St
Ste 6
St George, UT 84770
Phone (435) 628-5851

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1861041618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S BLUFF ST STE 6",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703593",
            "telephone_number": "435-628-5851",
            "fax_number": "435-628-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 S BLUFF ST STE 6",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703593",
            "telephone_number": "435-628-5851",
            "fax_number": "435-628-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "TAMARAH",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8207012-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.