Individual provider Active NPI

Lauren Mickelle Roush, APRN

  • Nurse Practitioner
  • Saint George, UT
National Provider Identifier
1932886231
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10224272-4405 Issued in UT
Practice address
385 N 3050 E
Saint George, UT 84790-9003
Phone
(435) 251-2630
Fax
(435) 627-0316
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10224272-4405 UT Primary

Addresses

Primary practice location

385 N 3050 E
Saint George, UT 84790-9003

Mailing address

1845 W Canyon View Dr Apt 708
Saint George, UT 84770-5898
Phone (817) 917-8308

Other names 1

  • Lauren Mickelle Bos Former name

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

LicenseStateTypeSpecialty
10224272-4405UTMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1932886231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W CANYON VIEW DR APT 708",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847705898",
            "telephone_number": "817-917-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 N 3050 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847909003",
            "telephone_number": "435-251-2630",
            "fax_number": "435-627-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "LAUREN",
        "middle_name": "MICKELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10224272-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BOS",
            "middle_name": "MICKELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.