Organization Active NPI

Desert Diabetes LLC

  • Nurse Practitioner
  • St George, UT
National Provider Identifier
1881552933
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DESERT DIABETES LLC
Practice address
1240 E 100 S Ste 221
St George, UT 84790-3077
Phone
(435) 590-2312
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Brecken Moore, FNP-CNPI 1336830108
Title
Ceo/Medical Director
Phone
(435) 590-2312

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1240 E 100 S Ste 221
St George, UT 84790-3077

Mailing address

1240 E 100 S Ste 221
St George, UT 84790-3077
Phone (435) 590-2312

Other names 1

  • Desert Diabetes Thyroid and Hormone Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brecken@desertdiabetes.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1881552933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 221",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903077",
            "telephone_number": "435-590-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 221",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903077",
            "telephone_number": "435-590-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT DIABETES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRECKEN",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "435-590-2312",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brecken@desertdiabetes.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1240 E 100 S Ste 221",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847903077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Desert Diabetes Thyroid and Hormone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2026; 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.