Active NPI
Justin Bateman
- Hearing Instrument Specialist
- St George, UT
National Provider Identifier
1912415274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 9204760-4601
- Practice address
- 161 W 200 N Ste 110
St George, UT 84770-7386 - Phone
- (435) 688-2456
- NPI assigned
- Jan 19, 2018
- Last updated
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 206 | WY | |
| Hearing Instrument Specialist | 237700000X | 9204760-4601 | UT | Primary |
| Hearing Instrument Specialist | 237700000X | HAS-0576 | NV |
Addresses
Primary practice location
161 W 200 N Ste 110
St George, UT 84770-7386
Mailing address
161 W 200 N Ste 110
St George, UT 84770-7386
Phone (435) 688-2456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| HAS-0576 | NV | MD | Hearing Instrument Specialist |
| 9204760-4601 | UT | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1912415274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W 200 N STE 110",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847707386",
"telephone_number": "435-688-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W 200 N STE 110",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847707386",
"telephone_number": "435-688-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WY",
"license": "206",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "UT",
"license": "9204760-4601",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NV",
"license": "HAS-0576",
"primary": false
}
],
"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 Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.