Individual provider Active NPI

Nadia Xibille, PA-C

  • Medical Physician Assistant
  • Magna, UT
National Provider Identifier
1982944369
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3665 S 8400 W
Magna, UT 84044-4907
Phone
(801) 250-9638
NPI assigned
Feb 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3665 S 8400 W
Magna, UT 84044-4907

Mailing address

3665 S 8400 W
Magna, UT 84044-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130315000315 UT Practitioner - Physician Assistant 9032354212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Utah Partners for HealthGroup PAC ID 8224262480, 9 clinicians

Practice addresses (Care Compare)

8446 S Harrison St
Midvale, UT 84047-3501
Phone (801) 417-0131

9103 S 1300
Suite 102
West Jordan, UT 84088-6709
Phone (801) 417-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Partners for Health CurrentSince Oct 6, 2014 Accepting new patients

Locations

7651 S Main St
Midvale, UT 84047
Phone (801) 255-5814

8446 S Harrison St
Midvale, UT 84047
Phone (801) 417-0131

9103 S 1300 W
Ste 102
West Jordan, UT 84088
Phone (801) 208-2070

Interoperability endpoints

  • Direct secure messaging: nadia.xibille@upfh.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1982944369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444907",
            "telephone_number": "801-250-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIBILLE",
        "first_name": "NADIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magna, UT

Sources for this page

Verify at the official NPI Registry.