DR. DANIEL BRENNAN VINE (NPI# 1841219375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841219375 |
| Entity Type | Individual |
| Full Name | DR. DANIEL BRENNAN VINE |
| Credential | M.D. |
| Practice Address |
652 S Medical Center Dr Ste 320 St George UT 84790-7049 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4352513950 |
| Practice Fax Number | 4352513951 |
| Mailing Telephone | 4352513950 |
| Mailing Fax Number | 4352513951 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
1714131205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
652 S MEDICAL CENTER DR STE 320 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916915 | Brookanne J Mickelson | Nurse Practitioner | 652 S Medical Center Dr, Ste 110, St George, UT 84790-7049 | 2005-07-21 |
| 1316561848 | Jacob Daniel Earl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2020-06-01 |
| 1013562875 | Alexa Atkin | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-08-07 |
| 1265090039 | Kelli D Reese | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-06-05 |
| 1932666781 | Health Services Inc | Preventive Medicine | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-02-28 |
| 1134683774 | Michelle Lynn Schierl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-28 |
| 1871067090 | Danielle Marie Smith | Hospitalist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-22 |
| 1942733126 | David Scott Foisy | Nurse Practitioner | 652 S Medical Center Dr, St George, UT 84790-7049 | 2017-04-05 |
| 1588119622 | Kashae Anderson | Physician Assistant | 652 S Medical Center Dr, Ste 420, St George, UT 84790-7049 | 2016-08-18 |
| 1265887343 | Michelle Hudson | Specialist/Technologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2016-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607589 | Trenton L Overall, Inc | Psychiatry & Neurology | 295 S 1470 E Ste 301, St George, UT 84790-1762 | 2020-10-23 |
| 1629596382 | Red Rock Neurology, LLC | Psychiatry & Neurology | 515 S 300 E Ste 107, St George, UT 84770-3931 | 2017-09-01 |
| 1306803226 | Laura Jean Schlagel | Psychiatry & Neurology | 2019 E Riverside Dr Ste A101, St George, UT 84790-8147 | 2006-04-26 |
| 1407239080 | Southern Utah Neurology, Inc. | Psychiatry & Neurology | 640 E 700 S, #204, St George, UT 84770-5732 | 2015-07-01 |
| 1306284765 | Swati Laroia Coon | Psychiatry & Neurology | 652 S Medical Center Dr Ste 420, St George, UT 84790-7049 | 2013-06-07 |
| 1841575032 | Trenton Lee Overall | Psychiatry & Neurology | 652 S Medical Center Dr, 320, St George, UT 84790-7049 | 2011-10-19 |
| 1306081187 | Ihc Health Services Inc | Psychiatry & Neurology | 652 S Medical Center Dr, Ste 320, St George, UT 84790-7266 | 2008-12-09 |
| 1811175730 | Cordia Yuen Wan | Psychiatry & Neurology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2008-02-01 |
| 1497976864 | Taj N Becker | Psychiatry & Neurology | 736 S 900 E, 202, St George, UT 84790-7000 | 2007-05-01 |
| 1033175765 | Luciana De Saibro | Psychiatry & Neurology | 652 S Medical Center Dr, Suite 320, St George, UT 84790 | 2006-04-21 |
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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.