Individual provider Active NPI

Emily Elizabeth George, MSN, FNP-BC

  • Family Nurse Practitioner
  • Brigham City, UT
National Provider Identifier
1992584221
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10208398-4405 Issued in UT
Practice address
600 W Hospital Rd
Brigham City, UT 84302-3006
Phone
(435) 734-2041
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10208398-4405 UT Primary

Addresses

Primary practice location

600 W Hospital Rd
Brigham City, UT 84302-3006

Mailing address

2112 W 3300 S Apt F307
West Haven, UT 84401-9163
Phone (801) 309-0907

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
I20231107001640 UT Practitioner - Nurse Practitioner 2961859376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham Medical Clinic, Inc.Group PAC ID 8628000809, 5 clinicians

Practice addresses (Care Compare)

600 W Hospital Rd
Brigham City, UT 84302-3006
Phone (435) 734-2041

Hospital & facility affiliations

  • Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303
  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10208398-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham Medical Clinic, Inc. CurrentSince Oct 15, 2023 Accepting new patients

Locations

600 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-2041

Interoperability endpoints

  • Direct secure messaging: emily.george@999388869427204.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1992584221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 W 3300 S APT F307",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019163",
            "telephone_number": "801-309-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HOSPITAL RD",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023006",
            "telephone_number": "435-734-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10208398-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.