Organization Active NPI

Homefront Primary Care LLP

  • Primary Care Nurse Practitioner
  • St George, UT
National Provider Identifier
1881447233
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HOMEFRONT PRIMARY CARE LLP
Practice address
1062 E Riverside Dr Ste 101
St George, UT 84790-4454
Phone
(435) 523-1545
Fax
(435) 673-8458
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Janie Earle, DNPNPI 1720752389
Title
DNP/ Doctor of Nurse Practitioner
Phone
(435) 523-1545

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1062 E Riverside Dr Ste 101
St George, UT 84790-4454

Mailing address

1062 E Riverside Dr Ste 101
St George, UT 84790-4454
Phone (435) 523-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240613002202 UT Part B Supplier - Clinic/Group Practice 4082157490 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, UT
O20241015003410 NV Part B Supplier - Clinic/Group Practice 4082157490 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, NV

National Provider Directory

National Provider Directory

Locations

350 Falcon Ridge Pkwy
Ste 204
Mesquite, NV 89027
Phone (435) 523-1545

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1881447233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E RIVERSIDE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904454",
            "telephone_number": "435-523-1545",
            "fax_number": "435-673-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E RIVERSIDE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904454",
            "telephone_number": "435-523-1545",
            "fax_number": "435-673-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEFRONT PRIMARY CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "DNP/ DOCTOR OF NURSE PRACTITIONER",
        "authorized_official_telephone_number": "435-523-1545",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Apr 8, 2024; 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.