Alberto W Souza, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6873612-4405 Issued in UT

Practice address

1664 S Dixie Dr Ste E102
Saint George, UT 84770-7329

Phone

(435) 703-9647

Fax

(435) 703-6003

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, NV2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alberto Souza PLLCGroup PAC ID 1254766371, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alberto Souza, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint George, UT
  • NPI 1972141588

  NV

  Medicare reassignment Care Compare group NPD Authorized official
• Moab Valley Healthcare, Inc

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236
  Medicare reassignment NPD
• Moab Valley Healthcare, Inc.

  • Community/Retail Pharmacy
  • Moab, UT
  • NPI 1235918962
  NPD
• Moab Valley Healthcare, Inc.

  • Methadone Clinic
  • Moab, UT
  • NPI 1285380394
  NPD
• Kidney & Hypertension Institute of St. George PLLC

  • Specialist
  • Tacoma, WA
  • NPI 1255509469
  NPD (past)
• Talbert Medical Group

  • Health Maintenance Organization
  • Costa Mesa, CA
  • NPI 1497759005
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1972846384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 E 400 N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vineyard",
            "state": "UT",
            "postal_code": "840597509",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Pinnacle Ct Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890273322",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1789 N Wedgewood Ln",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847217769",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6783 S Redwood Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840845685",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 N 200 E Ste 160",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843413175",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6783 S Redwood Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840845696",
            "country_code": "US",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "ALBERTO",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "6873612-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6873612-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Utah Community Health Center, Inc
• Southwest Utah Community Health Center, Inc
• Southwest Utah Public Health Department
• Southwest Utah Public Health Dept
• Reagan Southwick
• Joni Sowards
• Alexis Sowry
• SP Care LLC
• SP Care LLC
• Jennifer Annette Spangler, M.ED. LPC

• Psychiatric/Mental Health Nurse Practitioner in Saint George, UT
• Providers in Saint George, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.