LISA CERTONIO (NPI# 1588057152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588057152 |
| Entity Type | Individual |
| Full Name | LISA CERTONIO |
| Other Name | LISA WILKINS |
| Credential | NNP-BC |
| Practice Address |
544 S 400 E St George UT 84770-3705 |
| Mailing Address |
2152 S Angell Heights Dr Hurricane UT 84737-2665 |
| Practice Telephone | 4356885440 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
376714-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
544 S 400 E |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813474 | Rusty A Moore | Physical Medicine & Rehabilitation | 544 S 400 E, 5th Floor, St George, UT 84770-3705 | 2005-12-28 |
| 1265069066 | Ihc Health Services Inc | Internal Medicine | 544 S 400 E, St George, UT 84770-3705 | 2020-03-24 |
| 1477005783 | Nicole Cummins | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2016-11-03 |
| 1831558204 | Elisa Edwards | General Acute Care Hospital | 544 S 400 E, St George, UT 84770-3705 | 2016-02-15 |
| 1073924312 | Nathaniel William Seck | Psychiatry & Neurology | 544 S 400 E, St George, UT 84770-3705 | 2014-05-08 |
| 1235481375 | Min Li | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-10-14 |
| 1215291992 | Matt Trane Webb | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-06-27 |
| 1053677245 | Richard C Tebbs II | Physician Assistant | 544 S 400 E, St George, UT 84770-3705 | 2012-04-02 |
| 1528339769 | Ihc Health Services Inc | Family Medicine | 544 S 400 E, St George, UT 84770-3705 | 2012-01-19 |
| 1417238601 | Ihc Health Services Inc | Preventive Medicine | 544 S 400 E, St George, UT 84770-3705 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784562 | Angie May Jensen | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194242925 | Jeanette Louise Seidel | Nurse Practitioner | 50 N Medical Dr Bldg 525, Salt Lake City, UT 84132-0001 | 2017-08-23 |
| 1588095376 | Chrisitne Peterson | Nurse Practitioner | 1034 W 500 N, Provo, UT 84601-2537 | 2013-12-05 |
| 1912299678 | Katie Emerson | Nurse Practitioner | 2522 W 2250 N, Lehi, UT 84043-5745 | 2011-05-12 |
| 1336323336 | Kristine Antonelli Karlsen | Nurse Practitioner | 9033 Flint Way, Park City, UT 84098-5851 | 2007-12-26 |
| 1649815879 | Jessica Ricaurte | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2019-11-12 |
| 1598313603 | Natalie Marie Collier | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-09-01 |
| 1073160362 | Julia Christine Thomas | Nurse Practitioner | 100 N Mario Capecchi Dr, Slc, UT 84113-1103 | 2019-08-21 |
| 1386291649 | Anjeanette Newton | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-21 |
| 1952957607 | Allison Kendall | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-16 |
| 1861047334 | Elizabeth Anne Elliott | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.